FORM 1023-EZ for CSI CHICAGO FOUNDATION

Field Data
EIN 83-2449064
Case Number EO-2018318-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CSI CHICAGO FOUNDATION
Organization’s Mailing Address 824 S RIDGELAND AVE
City OAK PARK
State IL
ZIP 60304
Accounting period End 12
Primary contact name PETER GROTENHUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER GROTENHUIS
PRESIDENT
719 CELTIC ASH CT
NAPERVILLE IL 60540

Officer/Director/Trustee Two

BRAD SCHWAB
VICE PRESIDENT
2112 W GALENA BLVD STE 8
AURORA IL 60506

Officer/Director/Trustee Three

ELIAS SALTZ
TREASURER
326 RONNIE DRIVE
BUFFALO GROVE IL 60089

Officer/Director/Trustee Four

BETH WINKLER
SECRETARY
824 S RIDGELAND AVE
OAK PARK IL 60304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
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 PETER GROTENHUIS
Signature Title PRESIDENT
Signature Date 11/12/18

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