FORM 1023-EZ for CHICAGOLAND PERFUSION FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-2528836 |
| Case Number | EO-2018323-000643 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHICAGOLAND PERFUSION FOUNDATION |
| Organization’s Mailing Address | 1415 WALNUT |
| City | WESTERN SPRINGS |
| State | IL |
| ZIP | 60558 |
| Accounting period End | 11 |
| Primary contact name | BRADLEY KULAT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRADLEY KULAT
PRESIDENT
1415 WALNUT
WESTERN SPRINGS IL 60558
Officer/Director/Trustee Two
STEVEN MOSS
TREASURER
6441 FAIRFIELD AVE
BERWYN IL 60402
Officer/Director/Trustee Three
NEALE ZINGLE
CO-TRESURER
3180 LAKE SHORE DRIVE
CHICAGO IL 60657
Officer/Director/Trustee Four
GREGORY MORK
VICE PRESIDENT
23 HORSESHOE LANE
LEMONT IL 60439
Officer/Director/Trustee Five
DAVID CHABOT
SECRETARY
13510 SAINT MARY CIRCLE
ORLAND PARK IL 60462
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/13/18 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G43 - Heart and Circulatory System Diseases, Disorders |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRADLEY KULAT |
| Signature Title | PRESIDENT |
| Signature Date | 11/17/18 |
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