FORM 1023-EZ for JAMIE WISE AND SEAN TOEDMAN MEMORIAL FUND

Field Data
EIN 82-1773412
Case Number EO-2017159-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMIE WISE AND SEAN TOEDMAN MEMORIAL FUND
Organization’s Mailing Address 1335 KAREN DRIVE
City WEST DUNDEE
State IL
ZIP 60118
Accounting period End 12
Primary contact name DAVID SCHULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID SCHULTZ
DIRECTOR
1335 KAREN DRIVE
WEST DUNDEE IL 60118

Officer/Director/Trustee Two

TERESA SCHULTZ
DIRECTOR
1335 KAREN DRIVE
WEST DUNDEE IL 60118

Officer/Director/Trustee Three

JONI WISE
DIRECTOR
17714 CLARK STREET
UNION IL 60180

Officer/Director/Trustee Four

JUSTIN HANSEN
DIRECTOR
3912 TAMARISK TRAIL
CRYSTAL LAKE IL 60112

Officer/Director/Trustee Five

DEBBIE SCHULTZ
DIRECTOR
934 SURREY LANE
SLEEPY HOLLOW IL 60118

Organization’s website WWW.JAMIESEAN3ON3.COM
Organization’s email JAMIESEAN3ON3@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 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
Signature Title
Signature Date

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