FORM 1023-EZ for FRIENDS OF CASAVANT 3062

Field Data
EIN 82-3374100
Case Number EO-2017326-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CASAVANT 3062
Organization’s Mailing Address 203 S KENSINGTON AVE
City LA GRANGE
State IL
ZIP 60525-2216
Accounting period End 12
Primary contact name DANIEL MOTTL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MOTTL
DIRECTOR AND PRESIDENT
4 SHILOH CT
BURR RIDGE IL 60527

Officer/Director/Trustee Two

SUZANNE JASIAK
DIRECTOR, SECRETARY AND TREASURER
4820 CENTRAL AVE
WESTERN SPRINGS IL 60558

Officer/Director/Trustee Three

ELLEN EKEVAG
DIRECTOR
203 S KENSINGTON
LA GRANGE IL 60525-2216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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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