FORM 1023-EZ for THE PAUL DOUGLAS INSTITUTE

Field Data
EIN 83-1735892
Case Number EO-2018243-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PAUL DOUGLAS INSTITUTE
Organization’s Mailing Address 5412 S WOODLAWN AVE APT 2
City CHICAGO
State IL
ZIP 60615
Accounting period End 8
Primary contact name YUEN KWAN VANESSA MA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZAREK DROZDA
DIRECTOR OF POLICY
5429 S WOODLAWN AVE APT 1
CHICAGO IL 60615-5209

Officer/Director/Trustee Two

YUEN KWAN VANESSA MA
DIRECTOR OF OPERATIONS
5412 S WOODLAWN AVE APT 2
CHICAGO IL 60615-5283

Officer/Director/Trustee Three

EDWARD KNOX
DIRECTOR OF RESEARCH
6031 S ELLIS AVE APT W801
CHICAGO IL 60637-2607

Officer/Director/Trustee Four

RIMSHA NAZEER
DIRECTOR OF PUBLICITY
5473 S INGLESIDE AVE APT 3E
CHICAGO IL 60615-5038

Organization’s website WWW.PAULDOUGLASINSTITUTE.ORG
Organization’s email POLICY@PAULDOUGLASINSTITUTE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
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 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 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 YUEN KWAN VANESSA MA
Signature Title DIRECTOR OF OPERATIONS
Signature Date 8/29/18

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