FORM 1023-EZ for FRIENDS OF ROOSEVELT HIGH SCHOOL

Field Data
EIN 82-5462134
Case Number EO-2018130-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF ROOSEVELT HIGH SCHOOL
Organization’s Mailing Address 3403 W LAWRENCE AVE
City CHICAGO
State IL
ZIP 60625
Accounting period End 12
Primary contact name SAMAY GHEEWALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN SIVAK
CHAIR
3201 W ARGYLE ST
CHICAGO IL 60625

Officer/Director/Trustee Two

HERVE ZILLE
SECRETARY
4838 N ALBANY AVE
CHICAGO IL 60625

Officer/Director/Trustee Three

SAMAY GHEEWALA
TREASURER
4515 N SAWYER AVE
CHICAGO IL 60625

Organization’s website
Organization’s email FRIENDSOFROOSEVELTHS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 SAMAY GHEEWALA
Signature Title TREASURER
Signature Date 5/7/18

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