FORM 1023-EZ for CHICAGO METRO CHAPTER OF AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING

Field Data
EIN 36-4243133
Case Number EO-2014356-000491
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICAGO METRO CHAPTER OF AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING
Organization’s Mailing Address PO 836
City RICHTON PARK
State IL
ZIP 60471
Accounting period End 12
Primary contact name DAWN KUNZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA BOLYANATZ
PRESIDENT
25W142 WINDHAM HILL COURT
NAPERVILLE IL 60540

Officer/Director/Trustee Two

DAWN KUNZ
PRESIDENT ELECT
2 WESTCOTT COURT
BOLINGBROOK IL 60440

Officer/Director/Trustee Three

NANCY HOEKSTRA
SECRETARY
2214 TAMARACK DRIVE
DOWNERS GROVE IL 60515

Officer/Director/Trustee Four

ANGELA HART
TREASURER
2250 VICKSBURG COURT
AURORA IL 60503

Officer/Director/Trustee Five

CONNIE WRIGHT
IMMED PAST PRES
1032 185TH STREET
HOMEWOOD IL 60430

Organization’s website WWW.CMC-ASPMN.ORG
Organization’s email CMC.ASPMN1@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1998
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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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