FORM 1023-EZ for FOUNDATION FOR OPTHAMOLOGICAL CAREFROM UNITED STATES INC

Field Data
EIN 36-6112617
Case Number EO-2019252-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR OPTHAMOLOGICAL CAREFROM UNITED STATES INC
Organization’s Mailing Address 618 S LAFLIN COURT UNIT G
City CHICAGO
State IL
ZIP 60607
Accounting period End 12
Primary contact name MICHAEL J MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN MILLER
PRESIDENT/DIRECTOR
618 S LAFLIN UNIT G
CHICAGO IL 60607

Officer/Director/Trustee Two

DANIEL ALTER
VICE PRESIDENT/DIRECTOR
338 RIDGE ROAD
BARRINGTON HILLS IL 60010

Officer/Director/Trustee Three

WILLIAM MYERS
SECRETARY/TREASURER
2042 N CLEVELAND AVE
CHICAGO IL 60614

Officer/Director/Trustee Four

LINDA LAWRENCE
DIRECTOR
1410 E IRON AVE
SALINAS KS 67401

Officer/Director/Trustee Five

MATTHEW THOMPSON
DIRECTOR
2490 DEERPATH DR
GREEN BAY WI 54302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/94
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name MARILYN MILLER
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/6/19
EIN 36-6112617
Case Number EO-2019252-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR OPTHAMOLOGICAL CARE FROM UNITED STATES INC
Organization’s Mailing Address 618 S LAFLIN COURT UNIT G
City CHICAGO
State IL
ZIP 60607
Accounting period End 12
Primary contact name MICHAEL J MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN MILLER
PRESIDENT/DIRECTOR
618 S LAFLIN UNIT G
CHICAGO IL 60607

Officer/Director/Trustee Two

DANIEL ALTER
VICE PRESIDENT/DIRECTOR
338 RIDGE ROAD
BARRINGTON HILLS IL 60010

Officer/Director/Trustee Three

WILLIAM MYERS
SECRETARY/TREASURER
2042 N CLEVELAND AVE
CHICAGO IL 60614

Officer/Director/Trustee Four

LINDA LAWRENCE
DIRECTOR
1410 E IRON AVE
SALINAS KS 67401

Officer/Director/Trustee Five

MATTHEW THOMPSON
DIRECTOR
2490 DEERPATH DR
GREEN BAY WI 54302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/94
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name MARILYN MILLER
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/6/19

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