FORM 1023-EZ for GENESIS FOUNDATION INC

Field Data
EIN 37-1793180
Case Number EO-2015324-000137
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENESIS FOUNDATION INC
Organization’s Mailing Address 5810 NORTH LINCOLN AVENUE
City CHICAGO
State IL
ZIP 60659-4602
Accounting period End 12
Primary contact name DAVID S CHOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID S CHOI
PRESIDENT/DIRECTOR
5810 NORTH LINCOLN AVENUE
CHICAGO IL 60659

Officer/Director/Trustee Two

JENNY COOK
TREASURER/DIRECTOR
5810 NORTH LINCOLN AVENUE
CHICAGO IL 60659

Officer/Director/Trustee Three

DAVID A CHOI
SECRETARY/DIRECTOR
5810 NORTH LINCOLN AVENUE
CHICAGO IL 60659

Officer/Director/Trustee Four

SAM TOH
VICE-PRESIDENT/DIRECTOR
5810 NORTH LINCOLN AVENUE
CHICAGO IL 60659

Officer/Director/Trustee Five

SARAH BARRY
BOARD MEMBER/DIRECTOR
5810 NORTH LINCOLN AVENUE
CHICAGO IL 60659

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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