FORM 1023-EZ for PORTICO COLLECTIVE

Field Data
EIN 81-5408295
Case Number EO-2017072-000419
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PORTICO COLLECTIVE
Organization’s Mailing Address 3015 ROSE MARIE DRIVE
City WONDER LAKE
State IL
ZIP 60097-8695
Accounting period End 6
Primary contact name MATTHEW W H JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW JOHNSON
PRESIDENT
3015 ROSE MARIE DR
WONDER LAKE IL 60097-8695

Officer/Director/Trustee Two

TAMMY SCOTT
TREASURER
913 E BAILEY RD
NAPERVILLE IL 60565-1652

Officer/Director/Trustee Three

SOPHIA AGTARAP
SECRETARY
8734 AMBONAY DR
BRENTWOOD TN 37027-8385

Officer/Director/Trustee Four

KEVIN VEITINGER
MEMBER AT LARGE
1220 E DUFFY ST
SAVANNAH GA 31404-2130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 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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