FORM 1023-EZ for GRANDMAS GAMBLERS

Field Data
EIN 81-5454492
Case Number EO-2017065-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRANDMAS GAMBLERS
Organization’s Mailing Address 8400 S LOREL AVE
City BURBANK
State IL
ZIP 60459-2665
Accounting period End 12
Primary contact name DEANNA HERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA HERMAN
CEO
8400 S LOREL AVE
BURBANK IL 60459-2665

Officer/Director/Trustee Two

DANIELLE MOBLEY
PRESIDENT
10040 S CICERO
OAK LAWN IL 60453

Officer/Director/Trustee Three

LINDA PITROWSKI
VICE PRESIDENT
8425 S CENTRAL
BURBANK IL 60459-2665

Organization’s website
Organization’s email GRANDMASGAMBLERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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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