FORM 1023-EZ for EGG BANK FOUNDATION

Field Data
EIN 47-3261113
Case Number EO-2015071-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EGG BANK FOUNDATION
Organization’s Mailing Address 767 PARK AVENUE WEST SUITE 130
City HIGHLAND PARK
State IL
ZIP 60035
Accounting period End 12
Primary contact name KURT KAUFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COLLEEN COUGHLIN
DIRECTOR
767 PARK AVENUE WEST SUITE 130
HIGHLAND PARK IL 60035

Officer/Director/Trustee Two

BRIAN KAPLAN
DIRECTOR
767 PARK AVENUE WEST SUITE 130
HIGHLAND PARK IL 60035

Officer/Director/Trustee Three

DONNA BURCH
DIRECTOR
767 PARK AVENUE WEST SUITE 130
HIGHLAND PARK IL 60035

Organization’s website WWW.EGGBANKFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E40 - Reproductive Health Care Facilities and Allied Services
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 Yes
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
Signature Title
Signature Date

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