FORM 1023-EZ for SURGERYSOS

Field Data
EIN 81-3576727
Case Number EO-2016235-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURGERYSOS
Organization’s Mailing Address 680 N LAKE SHORE DRIVE SUITE 1208
City CHICAGO
State IL
ZIP 60611
Accounting period End 12
Primary contact name ASTRID ARMSTRONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MCKAY MCKINNON
DIRECTOR, PRESIDENT
680 N LAKE SHORE DRIVE SUITE 1208
CHICAGO IL 60611

Officer/Director/Trustee Two

ASTRID ARMSTRONG
DIRECTOR, SECRETARY, TREASURER
680 N LAKE SHORE DRIVE SUITE 1208
CHICAGO IL 60611

Officer/Director/Trustee Three

JOSHUA DONFIELD
DIRECTOR
1427 N KINGS ROAD
LOS ANGELES CA 90069

Officer/Director/Trustee Four

RONALD ALLEN
DIRECTOR
357 E CHICAGO AVE
CHICAGO IL 60611

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 Yes
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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