FORM 1023-EZ for NAMI SAUK AREA

Field Data
EIN 47-2317958
Case Number EO-2018018-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAMI SAUK AREA
Organization’s Mailing Address 2154 LOWELL PARK ROAD
City DIXON
State IL
ZIP 61021
Accounting period End 6
Primary contact name TARA WAGENKNECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY BROKAW
PRESIDENT
2154 LOWELL PARK RD
DIXON IL 61021

Officer/Director/Trustee Two

TARA WAGENKNECHT
VICE PRES TREASURER
29119 1600 EAST ST
WALNUT IL 61376

Officer/Director/Trustee Three

BETTY MARRANDINO
SECRETARY
573 MEADOW LANE DR
DIXON IL 61021

Officer/Director/Trustee Four

MARY ANN HUTCHISON
DIRECTOR
436 S MILL ST
MT CARROLL IL 61053

Officer/Director/Trustee Five

TRACY BROOKS
DIRECTOR
5573 S BEEBE DR
ROCHELLE IL 61068

Organization’s website
Organization’s email NAMISAUKAREA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/15
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 TARA WAGENKNECHT
Signature Title VICE PRES TREASURER
Signature Date 1/16/18

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