FORM 1023-EZ for CHAPS FOUNDATION

Field Data
EIN 47-1483943
Case Number EO-2016013-000515
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAPS FOUNDATION
Organization’s Mailing Address 651 MALL DR STE 59598
City SCHAUMBURG
State IL
ZIP 60159
Accounting period End 12
Primary contact name KATHRYN MCCORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAYANTILAL THAKKAR
DIRECTOR
17 CLOVER CIR
STREAMWOOD IL 60107

Officer/Director/Trustee Two

VINOD THAKKAR
DIRECTOR
1855 SEQUOIA DR
HANOVER PARK IL 60133

Officer/Director/Trustee Three

HARENDRA MANGROLA
DIRECTOR
9727 KEELER AVE
SKOKIE IL 60076

Officer/Director/Trustee Four

KUMAR TADI
DIRECTOR
651 MALL DR STE 59598
SCHAUMBURG IL 60159

Officer/Director/Trustee Five

KATHRYN MCCORD
SECRETARY
651 MALL DR STE 59598
SCHAUMBURG IL 60159

Organization’s website DRCHAPS.ORG
Organization’s email INFO@DRCHAPS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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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