FORM 1023-EZ for EVANSVILLE FIRE PEER SUPPORT TEAM
| Field | Data |
|---|---|
| EIN | 82-2461391 |
| Case Number | EO-2018094-000148 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EVANSVILLE FIRE PEER SUPPORT TEAM |
| Organization’s Mailing Address | 550 SE EIGHTH ST |
| City | EVANSVILLE |
| State | IN |
| ZIP | 47713 |
| Accounting period End | 1 |
| Primary contact name | DARRYL ADLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIM GARRETT
CO-COORDINATOR
4113 KENSINGTON AVE
EVANSVILLE IN 47710
Officer/Director/Trustee Two
SEAN FARMER
CO-COORDINATOR
11000 FISCHER RD
EVANSVILLE IN 47720
Officer/Director/Trustee Three
MICHAEL STEINER
SCRIBE
8233 OAK DR
NEWBURGH IN 47630
Officer/Director/Trustee Four
DARRYL ADLER
TREASURER
907 N CRAIG AVE
EVANSVILLE IN 47720
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/22/17 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DARRYL ADLER |
| Signature Title | TREASURER |
| Signature Date | 4/2/18 |
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