FORM 1023-EZ for ROCK FOR A CURE NWI CORPORATION

Field Data
EIN 82-0731907
Case Number EO-2018178-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK FOR A CURE NWI CORPORATION
Organization’s Mailing Address 1001 WOOD STREET
City VALPARAISO
State IN
ZIP 46383
Accounting period End 12
Primary contact name SUSAN MOWBRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE KLEMZ
PRESIDENT
1001 WOOD STREET
VALPARAISO IN 46383

Officer/Director/Trustee Two

MARK STEWART
VICE-PRESIDENT
4050 LAHAYNE ROAD
CHESTERTON IN 46304

Officer/Director/Trustee Three

DAVID MOWBRAY
TREASURER
231 W STATE RD 130
VALPARAISO IN 46385-8706

Officer/Director/Trustee Four

SUSAN MOWBRAY
SECRETARY
231 W STATE RD 130
VALPARAISO IN 46385-8706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN MOWBRAY
Signature Title SECRETARY
Signature Date 6/24/18

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