FORM 1023-EZ for ROCK MEDICAL RESEARCH FOUNDATION INC

Field Data
EIN 86-1571154
Case Number EO-2021077-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK MEDICAL RESEARCH FOUNDATION INC
Organization’s Mailing Address PO BOX 6079
City ELGIN
State IL
ZIP 60121-6079
Accounting period End 12
Primary contact name BOB TIBALLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT N TIBALLI
EXECUTIVE DIRECTOR
3080 LONGCOMMON PARKWAY
ELGIN IL 60124

Officer/Director/Trustee Two

TAMAKI TIBALLI
SECRETARY
3080 LONGCOMMON PARKWAY
ELGIN IL 60124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H80 - Specifically Named Diseases Research
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 ROBERT N TIBALLI
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/20/2021

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