FORM 1023-EZ for NATIONAL GUN VIOLENCE MEMORIAL

Field Data
EIN 83-1861326
Case Number EO-2020240-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL GUN VIOLENCE MEMORIAL
Organization’s Mailing Address 1414 HINMAN AVE APT 4A
City EVANSTON
State IL
ZIP 60201-4761
Accounting period End 12
Primary contact name STEPHEN P TARZIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN TARZIA
PRESIDENT
1414 HINMAN AVE APT 4A
EVANSTON IL 60201-4761

Officer/Director/Trustee Two

MARILYN CHAPPELL
TREASURER
7635 SW 79TH ST
OCALA FL 34476-6981

Officer/Director/Trustee Three

TANYA WYANT
SECRETARY
3728 WINDY HILL DR SE
CONYERS GA 30013-2963

Organization’s website HTTP://GUNMEMORIAL.ORG
Organization’s email INFO@GUNMEMORIAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2018
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' 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 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 STEPHEN TARZIA
Signature Title PRESIDENT
Signature Date 8/25/2020

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