FORM 1023-EZ for SARAH AND FRIENDS NFP

Field Data
EIN 81-4894808
Case Number EO-2018047-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SARAH AND FRIENDS NFP
Organization’s Mailing Address 910 BIRDIE LN
City QUINCY
State IL
ZIP 62305-1022
Accounting period End 12
Primary contact name WILLIAM BIRSIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BIRSIC
PRESIDENT
910 BIRDIE LN
QUINCY IL 62305-1022

Officer/Director/Trustee Two

TODD SHACKELFORD
DIRECTOR
2436 COUNTRY CLUB DRIVEQUINCY
QUINCY IL 62301

Officer/Director/Trustee Three

KATHLEEN BIRSIC
DIRECTOR
910 BIRDIE LN
QUINCY IL 62305-1022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/16
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 WILLIAM BIRSIC
Signature Title PRESIDENT
Signature Date 2/14/18

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