FORM 1023-EZ for PINK HEALS SAUK VALLEY
| Field | Data |
|---|---|
| EIN | 81-4779887 |
| Case Number | EO-2017027-000166 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PINK HEALS SAUK VALLEY |
| Organization’s Mailing Address | 403 WEST 2ND ST |
| City | ROCK FALLS |
| State | IL |
| ZIP | 61071 |
| Accounting period End | 12 |
| Primary contact name | ELIZABETH TRIBLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRIAN TRIBLEY
PRESIDENT
311 3RD AVE
ROCK FALLS IL 61071-1212
Officer/Director/Trustee Two
ELIZABETH TRIBLEY
VICE PRESIDENT
311 3RD AVE
ROCK FALLS IL 61071-1212
Officer/Director/Trustee Three
TIM WRIGHT
TREASURER
1402 4TH AVE
STERLING IL 61081-2412
Officer/Director/Trustee Four
TAMMY NELSON
SECRETARY
3309 PROPHETSTOWN RD
ROCK FALLS IL 61071-2441
| Organization’s website | HTTPS://WWW.FACEBOOK.COM/PINK-HEALS-SAUK-VALLEY-IL-1861074630771094/?FREF=TS |
|---|---|
| Organization’s email | PINKHEALSSAUKVALLEY@COMCAST.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/5/2017 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G30 - Cancer |
| 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 | Yes |
| 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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