FORM 1023-EZ for CARPE VERBUM

Field Data
EIN 82-1299155
Case Number EO-2017221-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARPE VERBUM
Organization’s Mailing Address 10307 DUNDEE RD
City HUNTLEY
State IL
ZIP 60142
Accounting period End 12
Primary contact name M NOFAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON THEOBALD
DIRECTOR
255 N SACRAMENTO UNIT A
SYCAMORE IL 60178

Officer/Director/Trustee Two

DANIEL WOLFF
DIRECTOR
1210 MAPLE ST
LAKE IN THE HILLS IL 60156

Officer/Director/Trustee Three

LISA KENDZIOR
DIRECTOR
1712 ROLLING HILLS DR
CRYSTAL LAKE IL 60014

Officer/Director/Trustee Four

SEAN NORRIS
DIRECTOR
1730 BIRCH PL APT 204
SCHAUMBURG IL 60173

Officer/Director/Trustee Five

MARGARET OVERBECK
DIRECTOR
1436 SKYRIDGE DR
CRYSTAL LAKE IL 60014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
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 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
Signature Title
Signature Date

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