FORM 1023-EZ for WILLOW VALLEY COLLABORATIVE

Field Data
EIN 82-4304011
Case Number EO-2018128-000598
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLOW VALLEY COLLABORATIVE
Organization’s Mailing Address 3537 W EVERGREEN AVENUE
City CHICAGO
State IL
ZIP 60651
Accounting period End 12
Primary contact name DIETER KIRKWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIETER KIRKWOOD
DIRECTOR
3537 W EVERGREEN AVENUE
CHICAGO IL 60651

Officer/Director/Trustee Two

BRENDAN METZGER
DIRECTOR
816 N MAY STREET
CHICAGO IL 60642

Officer/Director/Trustee Three

ASHLEY WENDELA
DIRECTOR
816 N MAY STREET
CHICAGO IL 60642

Organization’s website
Organization’s email DIETER.KIRKWOOD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 DIETER KIRKWOOD
Signature Title DIRECTOR
Signature Date 5/1/18

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