| Field | Data |
|---|---|
| EIN | 83-4325985 |
| Case Number | EO-2020050-000222 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DECATUR AREA CRITICAL INCIDENT STRESS MANAGEMENT TEAM |
| Organization’s Mailing Address | 31 N COURT DR |
| City | DECATUR |
| State | IL |
| ZIP | 62526 |
| Accounting period End | 12 |
| Primary contact name | TIM REVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TARA ULIS
PRESIDENT
1955 RESERVE WAY
DECATUR IL 62521-5489
JOSH WHITNEY
TREASURER
310 BOHLEN ST
MOWEQUA ID 62550-1246
RALF PANSCH
SECRETARY
2263 STRAZA CT
DECATUR IL 62526-3048
TIMOTHY REVIS
VICE PRESIDENT
31 N COURT DR
DECATUR IL 62526-1941
JILL ALLEN
COMMUNICATIONS DIRECTOR
8787 CORNTHWAITE RD
MOROA IL 62544
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/12/2019 |
| Organization Incorporation State | IL |
| 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 | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TIMOTHY REVIS |
| Signature Title | VICE PRESIDENT |
| Signature Date | 2/17/2020 |
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