FORM 1023-EZ for DAVID FERRARA STROKE AWARENESS MEMORIAL

Field Data
EIN 81-2054488
Case Number EO-2016208-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVID FERRARA STROKE AWARENESS MEMORIAL
Organization’s Mailing Address PO BOX 44
City GRAYMONT
State IL
ZIP 61743
Accounting period End 12
Primary contact name ELIZABETH FERRARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN FERRARA
PRESIDENT
303 WASHINGTON
GRAYMONT IL 61743-0044

Officer/Director/Trustee Two

MICHAEL FERRARA
VICEPRESIDENT
1620 MARTIN LUTHER KING DR
BLOOMINGTON IL 61701

Officer/Director/Trustee Three

ELIZABETH FERRARA
TREASURER
303 WASHINGTON
GRAYMONT IL 61743-0044

Officer/Director/Trustee Four

EMILY MUND
SECRETARY
901 ILLINI DRIVE
PONTIAC IL 61764

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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