FORM 1023-EZ for QUAD CITY IN-FISHERMAN INC

Field Data
EIN 38-4107001
Case Number EO-2020023-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUAD CITY IN-FISHERMAN INC
Organization’s Mailing Address 2621 4TH AVENUE
City ROCK ISLAND
State IL
ZIP 61201
Accounting period End 12
Primary contact name MARK J PARR JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK J PARR JR
PRESIDENT
2152 23RD AVENUE
ROCK ISLAND IL 61201

Officer/Director/Trustee Two

RICHARD BROWNLESS
VICE PRESIDENT
2007 78TH AVENUE
MILAN IL 61264

Officer/Director/Trustee Three

KEITH GARVEY
FINANCIAL OFFICER
430 7TH AVENUE
MOLINE IL 61265

Officer/Director/Trustee Four

GARY GRUENHAGEN
SGT OF ARMS
40 MADISON CIRCLE
DAVENPORT IA 52806

Officer/Director/Trustee Five

ELAINE POLTON
RECORDING SECRETARY
5507 31ST AVENUE COURT
MOLINE IL 61265

Organization’s website INFISHERMANQC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/1981
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MARK J PARR JR
Signature Title PRESIDENT
Signature Date 1/18/2020

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