FORM 1023-EZ for SUSTAIN ROCKFORD INC

Field Data
EIN 83-1958413
Case Number EO-2018341-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUSTAIN ROCKFORD INC
Organization’s Mailing Address PO BOX 1835
City ROCKFORD
State IL
ZIP 61110
Accounting period End 6
Primary contact name BRYAN G SELANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY BARNARD
DIRETOR
2203 NORTH CHURCH ST
ROCKFORD IL 61103

Officer/Director/Trustee Two

CHET KOLODZIEJ
DIRECTOR
1637 SUNMEADOW LANE
ROCKFORD IL 61107

Officer/Director/Trustee Three

REBECCA QUIRK
DIRECTOR
2506 BURRMONT ROAD
ROCKFORD IL 61107

Officer/Director/Trustee Four

BRAD ROOS
DIRECTOR
502 7TH STREET NO 203
ROCKFORD IL 61104

Officer/Director/Trustee Five

RICK STRADER
DIRECTOR
920 D STREET
ROCKFORD IL 61107

Organization’s website SUSTAINROCKFORD.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C35 - Energy Resources Conservation and Development
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 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 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 BRAD ROOS
Signature Title DIRECTOR
Signature Date 12/5/18

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