FORM 1023-EZ for WILDSTANG ROBOTICS SUPPORT ASSOCIATION

Field Data
EIN 47-2842937
Case Number EO-2015106-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILDSTANG ROBOTICS SUPPORT ASSOCIATION
Organization’s Mailing Address 2901 CENTRAL ROAD
City ROLLING MEADOWS
State IL
ZIP 60008-2536
Accounting period End 6
Primary contact name MARK KOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KERRY PEARSON
DIRECTOR
24 NORTH REGENCY DRIVE WEST
ARLINGTON HEIGHTS IL 60004

Officer/Director/Trustee Two

MARK KOCH
DIRECTOR, PRESIDENT, TREASURER
187 W ADAMS ST
ELMHURST IL 60126

Officer/Director/Trustee Three

CAROL JANES
DIRECTOR
2302 WILLOW LANE
ROLLING MEADOWS IL 60008

Officer/Director/Trustee Four

CATHERINE JONES-ENDRES
DIRECTOR, SECRETARY
112 SOUTH SCHOOL STREET
MOUNT PROSPECT IL 60056

Officer/Director/Trustee Five

JON RIDLER
DIRECTOR, VICE-PRESIDENT
1311 WEST HAWTHORNE STREET
ARLINGTON HEIGHTS IL 60005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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