FORM 1023-EZ for THE PATRON INITIATIVE

Field Data
EIN 84-2896679
Case Number EO-2019266-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PATRON INITIATIVE
Organization’s Mailing Address 3115 KEWANEE LN
City NAPERVILLE
State IL
ZIP 60564-5024
Accounting period End 12
Primary contact name RANIT KAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANIT KAR
CHIEF EXECUTIVE OFFICER
2204 ARROWHEAD DR
NAPERVILLE IL 60564-5666

Officer/Director/Trustee Two

ANSHUL CHAWLA
PRESIDENT
3115 KEWANEE LN
NAPERVILLE IL 60564-5024

Officer/Director/Trustee Three

MANUAKASH SUTHAN
SECRETARY
821 S WILLIAMS STREET
WESTMONT IL 60559-2463

Officer/Director/Trustee Four

KAIDEN RADCLIFFE
TREASURER
2397 WATERBURY CIRCLE
AURORA IL 60504-3253

Officer/Director/Trustee Five

RAMIYA SHANMUGAM
CHAIRPERSON
4551 CORKTREE ROAD
NAPERVILLE IL 60564-1121

Organization’s website N/A
Organization’s email THEPATRONINITIATIVE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 RANIT KAR
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 9/21/19

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