FORM 1023-EZ for PROJECT HEADSPACE AND TIMING

Field Data
EIN 83-3998869
Case Number EO-2019102-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT HEADSPACE AND TIMING
Organization’s Mailing Address 1035
City MANTENO
State IL
ZIP 60950
Accounting period End 12
Primary contact name ERIC PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC PETERSON
DIRECTOR
1035 LINCOLN DRIVE
MANTENO IL 60950

Officer/Director/Trustee Two

JOHN BESSERMIN
DIRECTOR
2090 KINGS ROAD
EAGAN MN 55122

Officer/Director/Trustee Three

EUGENE KRONES
DIRECTOR
4331 NORTH SACRAMENTO AVE UNIT 3
CHICAGO IL 60618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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 ERIC PETERSON
Signature Title DIRECTOR
Signature Date 4/10/19

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