FORM 1023-EZ for KOZMIC KOSMOS PARENTS ASSOCIATION

Field Data
EIN 26-4028314
Case Number EO-2019063-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOZMIC KOSMOS PARENTS ASSOCIATION
Organization’s Mailing Address 2732 N AVERS
City CHICAGO
State IL
ZIP 60647
Accounting period End 1
Primary contact name PHILOMENA OCONNOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILOMENA OCONNOR
PRESIDENT
2732 N AVERS
CHICAGO IL 60647

Officer/Director/Trustee Two

MEGAN ROMBERG
SECRETARY
2732 N AVERS
CHICAGO IL 60647

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/09
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N72 - Special Olympics
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 Yes
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 MEGAN ROMBERG
Signature Title SECRETARY
Signature Date 2/28/19

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