FORM 1023-EZ for CARDIAC MEDICAL FOUNDATION NFP

Field Data
EIN 46-4116828
Case Number EO-2018222-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARDIAC MEDICAL FOUNDATION NFP
Organization’s Mailing Address 2855 WELLER LANE
City NORTHBROOK
State IL
ZIP 60062-5149
Accounting period End 12
Primary contact name BRONISLAW J ORAWIEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRONISLAW ORAWIEC
PRESIDENT
2855 WELLER LANE
NORTHBROOK IL 60062-5149

Officer/Director/Trustee Two

MIESZKO ORAWIEC
SECRETARY
2855 WELLER LANE
NORTHBROOK IL 60062-5149

Officer/Director/Trustee Three

SYLVIA ORAWIEC
TREASURER
2855 WELLER LANE
NORTHBROOK IL 60062-5149

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/13
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRONISLAW ORAWIEC
Signature Title PRESIDENT
Signature Date 8/8/18
EIN 46-4116828
Case Number EO-2015226-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARDIAC MEDICAL FOUNDATION
Organization’s Mailing Address 2855 WELLER LANE
City NORTHBROOK
State IL
ZIP 60062-5149
Accounting period End 11
Primary contact name BRONISLAW ORAWIEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRONISLAW ORAWIEC
CEO
2855 WELLER LANE
NORTHBROOK IL 60062-5149

Officer/Director/Trustee Two

MIESZKO ORAWIEC
PRESIDENT
2855 WELLER LANE
NORTHBROOK IL 60062-5149

Officer/Director/Trustee Three

SYLVIA ORAWIEC
SECRETARY
2855 WELLER LANE
NORTHBROOK IL 60062-5149

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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
Signature Title
Signature Date

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