FORM 1023-EZ for MASAC COUNTY DRUG AWARENESS COALITION

Field Data
EIN 37-1752374
Case Number EO-2016139-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASAC COUNTY DRUG AWARENESS COALITION
Organization’s Mailing Address PO BOX 188
City METROPOLIS
State IL
ZIP 62960
Accounting period End 7
Primary contact name KRISTINA STEPHENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOLLY WINDHORST
DIRECTOR
610 METROPOLIS ST
METROPOLIS IL 62960

Officer/Director/Trustee Two

LORI BRUCE
TREASURER
308 EAST FIFTH STREET
METROPOLIS IL 62960

Officer/Director/Trustee Three

RICKY GRIFFEY
BOARD MEMBER
9 DOVE LANE
Metropolis IL 62960

Officer/Director/Trustee Four

KRISTINA STEPHENSON
TTUSTEE
212 EAST 3RD STREET
METROPOLIS IL 62960

Organization’s website WWW.MASSACDRUGAWARENESS.COM
Organization’s email KSKSTEPHENSON9494@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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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