FORM 1023-EZ for ROCK RIVER HOUSE OF PRAYER

Field Data
EIN 37-1555160
Case Number EO-2016049-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCK RIVER HOUSE OF PRAYER
Organization’s Mailing Address 1300 17TH ST
City ROCKFORD
State IL
ZIP 61104
Accounting period End 12
Primary contact name LAIRD PEARCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAIRD PEARCY
DIRECTOR
506 N CALVIN PARK BLVD
ROCKFORD IL 61107

Officer/Director/Trustee Two

LABAN HOOVER
TREASURER
6551 GUILFORD RD
ROCKFORD IL 61107

Officer/Director/Trustee Three

HANNAH SEVILLA
SECRETARY
920 WHITE CHAPEL LANE
ROCKFORD IL 61108

Officer/Director/Trustee Four

JODY STRIKER
CHAIRPERSON
2211 OXFORD ST
ROCKFORD IL 61103

Organization’s website WWW.ROCKRIVERHOUSEOFPRAYER.COM
Organization’s email INFO@ROCKRIVERHOUSEOFPRAYER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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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