FORM 1023-EZ for ROCK RIVER CHAPLAINS ASSOCIATION

Field Data
EIN 82-1346490
Case Number EO-2017146-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCK RIVER CHAPLAINS ASSOCIATION
Organization’s Mailing Address 979 NORTH MAIN STREET
City ROCKFORD
State IL
ZIP 61103-7064
Accounting period End 12
Primary contact name RANDALL K REESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESUS CAVILLO
PRESIDENT CEO DIRECTOR
2618 COLORADO AVENUE
ROCKFORD IL 61108

Officer/Director/Trustee Two

FRANK BEACH
TREASURER VICE CHAIR DIRECTOR
2916 GREENWOOD AVENUE
ROCKFORD IL 61107

Officer/Director/Trustee Three

RANDALL REESE
CHAIRMAN DIRECTOR
979 NORTH MAIN STREET
ROCKFORD IL 61103-7064

Officer/Director/Trustee Four

PAT RIGGINS
SECRETARY DIRECTOR
428 REGAN STREET
ROCKFORD IL 61107

Officer/Director/Trustee Five

WILLIAM WENTINK
DIRECTOR
PO BOX 8786
ROCKFORD IL 61126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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 No
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
Signature Title
Signature Date

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