FORM 1023-EZ for MERCHANT STREET ART GALLERY OF ARTISTS WITH AUTISM INC

Field Data
EIN 47-4948841
Case Number EO-2015274-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCHANT STREET ART GALLERY OF ARTISTS WITH AUTISM INC
Organization’s Mailing Address 356 E MERCHANT STREET
City KANKAKEE
State IL
ZIP 60901
Accounting period End 7
Primary contact name JANICE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAWN HANSEN
DIRECTOR
2715 W ROUTE 17
KANKAKEE IL 60901

Officer/Director/Trustee Two

MICHAEL HANSEN
DIRECTOR
2070 W GARDEN DR
KANKAKEE IL 60901

Officer/Director/Trustee Three

NATA PREIS
DIRECTOR
14016 BORA WAY 334
MARINA DEL REY CA 90292

Officer/Director/Trustee Four

CALISTA SMALL
DIRECTOR
210 E PEARSON ST 14AB
CHICAGO IL 60611

Officer/Director/Trustee Five

JONATHAN SMALL
DIRECTOR
1324 COBB BLVD
KANKAKEE IL 60901

Organization’s website MERCHANTSTREETARTGALLERY.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
Organization’s purpose Charitable: Yes
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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