FORM 1023-EZ for SANGAMON COUNTY RESCUE SQUAD NFP

Field Data
EIN 84-3573634
Case Number EO-2020051-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANGAMON COUNTY RESCUE SQUAD NFP
Organization’s Mailing Address 8616 STATE ROUTE 124
City SHERMAN
State IL
ZIP 62684
Accounting period End 12
Primary contact name ROBIN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN SMITH
DIRECTOR
1517 NORTH PATTON STREET
SPRINGFIELD IL 62702

Officer/Director/Trustee Two

CRAIG BANGERT
DIRECTOR
8616 STATE ROUTE 124
SHERMAN IL 62684

Officer/Director/Trustee Three

CHAD WALTON
DIRECTOR
7880 GOOSEBERRY HILL DR
SPRINGFIELD IL 62702

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 ROBIN SMITH
Signature Title DIRECTOR
Signature Date 2/18/2020

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