FORM 1023-EZ for FISION NFP

Field Data
EIN 46-2252475
Case Number EO-2015111-000015
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FISION NFP
Organization’s Mailing Address 814 WICKER AVENUE
City STREAMWOOD
State IL
ZIP 60107
Accounting period End 12
Primary contact name CINDY JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH RIDDELL
PRESIDENT
362 TIMBER TRAIL
BATAVIA IL 60510

Officer/Director/Trustee Two

KAREN HERITSCH
SECRETARY
612 KIMBERELY LANE
STREAMWOOD IL 60107

Officer/Director/Trustee Three

CINDY JENNINGS
TREASURER
814 WICKER AVENUE
STREAMWOOD IL 60107

Officer/Director/Trustee Four

GILBERT LEVY
DIRECTOR
848 TIMBER HILL ROAD
HIGHLAND PARK IL 60035

Officer/Director/Trustee Five

GUY MYLANDER
DIRECTOR
1027 WILDFLOWER COURT
VERNON HILLS IL 60061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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