FORM 1023-EZ for BLOOMINGTON FIRE FIGHTERS LOCAL 49AUXILIARY ASSOCIATION

Field Data
EIN 81-3236884
Case Number EO-2016201-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOOMINGTON FIRE FIGHTERS LOCAL 49AUXILIARY ASSOCIATION
Organization’s Mailing Address PO BOX 6186
City BLOOMINGTON
State IL
ZIP 61702
Accounting period End 12
Primary contact name TONYA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONYA DAVIS
TREASURER
18682 N APACHE PATH
DANVERS IL 61732

Officer/Director/Trustee Two

LISA MATHENY
PRESIDENT
8525 BERWICKE CIRCLE
BLOOMINGTON IL 61705

Officer/Director/Trustee Three

JANELLE CZAPAR
VICE PRESIDENT
2004 BERRYWOOD LN
BLOOMINGTON IL 61704

Officer/Director/Trustee Four

LAUREN BUENROSTRO
SECRETARY
1109 OGELTHORPE RD
NORMAL IL 61761

Organization’s website
Organization’s email BFDAUX49@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
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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