FORM 1023-EZ for LUTHERAN SUICIDE PREVENTION MINISTRY CORPORATION

Field Data
EIN 47-4186544
Case Number EO-2015182-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUTHERAN SUICIDE PREVENTION MINISTRY CORPORATION
Organization’s Mailing Address 30 W 379 PINEHURST DRIVE
City NAPERVILLE
State IL
ZIP 60563
Accounting period End 12
Primary contact name WILLIAM H WENTZ - ATTORNEY - 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY WEYRAUCH
CO-CHAIR/TREASURER
5034 ODINS WAY
MARIETTA GA 30068

Officer/Director/Trustee Two

SHERRY BRYANT
CO-CHAIR/SECRETARY
30 W 379 PINEHURST DRIVE
NAPERVILLE IL 60563

Officer/Director/Trustee Three

JOHN STUMME
DIRECTOR
5846 NORTH KOSTNER AVENUE
CHICAGO IL 60514

Officer/Director/Trustee Four

KANDIS LANG
DIRECTOR
1596 ALEXANDRIA COURT
MARIETTA GA 30067

Officer/Director/Trustee Five

ANDY WEISS
DIRECTOR
2409 RIVER WOODS
NAPERVILLE IL 60545

Organization’s website WWW.LUTHERANSUICIDEPREVENTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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