FORM 1023-EZ for BACK THE BLUE TODAY NFP

Field Data
EIN 81-3487425
Case Number EO-2016285-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK THE BLUE TODAY NFP
Organization’s Mailing Address 702 S GRIDLEY ST
City BLOOMINGTON
State IL
ZIP 61701-5249
Accounting period End 12
Primary contact name PATRICIA HOUSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA HOUSTON
PRESIDENT AND DIRECTOR
702 S GRIDLEY ST
BLOOMINGTON IL 61701-5249

Officer/Director/Trustee Two

JEFF HALL
SECRETARY AND DIRECTOR
702 S GRIDLEY ST
BLOOMINGTON IL 61701-5249

Officer/Director/Trustee Three

FRANK RADEK
DIRECTOR
702 S GRIDLEY ST
BLOOMINGTON IL 61701-5249

Officer/Director/Trustee Four

JUSTIN ZILLER
DIRECTOR
702 S GRIDLEY ST
BLOOMINGTON IL 61701-5249

Officer/Director/Trustee Five

JOSH GUIN
DIRECTOR
702 S GRIDLEY ST
BLOOMINGTON IL 61701-5249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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