FORM 1023-EZ for ABRI FOUNDATION

Field Data
EIN 38-3876853
Case Number EO-2014297-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ABRI FOUNDATION
Organization’s Mailing Address 75 EXECUTIVE DRIVE SUITE 107
City AURORA
State IL
ZIP 60504
Accounting period End 12
Primary contact name VICTORIA SAMPAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICTORIA SAMPAH
INCORPORATOR DIRECTOR
486 VAUGHN CIRCLE
AURORA IL 60502

Officer/Director/Trustee Two

HENRY AMEGATCHER
PRESIDENT DIRECTOR
756 BAYLES DRIVE
AURORA IL 60446

Officer/Director/Trustee Three

THEO SAMPAH
TREASURER, CFO DIRECTOR
486 VAUGHN CIRCLE
AURORA IL 60502

Officer/Director/Trustee Four

SAMUEL KIRK MILLS
VICE PRESIDENT DIRECTOR
5829 LEE AVE
DOWNERS GROVE IL 60516

Officer/Director/Trustee Five

NANA AMA MILLS
SECRETARY /DIRECTOR
5829 LEE AVE
DOWNERS GROVE IL 60516

Organization’s website WWW.ABRIFOUNDATION.ORG
Organization’s email INFO@ABRIFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2012
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
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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