FORM 1023-EZ for ROMAN SUSAN ART FOUNDATION NFP

Field Data
EIN 81-2390843
Case Number EO-2016141-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROMAN SUSAN ART FOUNDATION NFP
Organization’s Mailing Address 1224 WEST LOYOLA AVENUE
City CHICAGO
State IL
ZIP 60626-5102
Accounting period End 12
Primary contact name NATHAN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIN ABHALTER
CREATIVE DIRECTOR
6251 NORTH SHERIDAN ROAD APT 12
CHICAGO IL 60660-1732

Officer/Director/Trustee Two

MADHURI SHUKLA
TREASURER
5124 NORTH CLARK STREET APT 237
CHICAGO IL 60640-2828

Officer/Director/Trustee Three

NATHAN SMITH
SECRETARY
7467 NORTH SHERIDAN ROAD
CHICAGO IL 60626-1818

Officer/Director/Trustee Four

RUTH HODGINS
DIRECTOR
7644 NORTH GREENVIEW AVE UNIT 3W
CHICAGO IL 60626-1281

Officer/Director/Trustee Five

POLLY YATES
DIRECTOR
5241 NORTH WINTHROP AVE APT 2
CHICAGO IL 60640-2316

Organization’s website HTTP://ROMANSUSAN.ORG
Organization’s email GALLERY@ROMANSUSAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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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