FORM 1023-EZ for DOROTHY GAUTREAUX FOUNDATION

Field Data
EIN 84-3143005
Case Number EO-2019291-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOROTHY GAUTREAUX FOUNDATION
Organization’s Mailing Address PO BOX 1162
City MATTESON
State IL
ZIP 60443
Accounting period End 1
Primary contact name MICHELE L RODGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESUS JUDAH
DIRECTOR
PO BOX 1162
MATTESON IL 60443

Officer/Director/Trustee Two

EXAVIER RODGERS
TRUSTEE
PO BOX 1162
MATTESON IL 60443

Officer/Director/Trustee Three

MICHELE RODGERS
PRESIDENT
PO BOX 1162
MATTESON IL 60443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 MICHELE RODGERS
Signature Title PRESIDENT
Signature Date 10/16/19

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