FORM 1023-EZ for CALUMET MEMORIAL PARK DISTRICT FOUNDATION

Field Data
EIN 81-1004625
Case Number EO-2016116-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALUMET MEMORIAL PARK DISTRICT FOUNDATION
Organization’s Mailing Address 626 WENTWORTH AVENUE
City CALUMET CITY
State IL
ZIP 60409-5317
Accounting period End 5
Primary contact name KYLE KASPEREK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN BOOKER
BOARD MEMBER
268 MARQUETTE
CALUMET CITY IL 60409-5317

Officer/Director/Trustee Two

CHARLES DOCKERY
BOARD MEMBER
4508 CAROL ANN LANE
RICHTON PARK IL 60471

Officer/Director/Trustee Three

GEORGE GRENCHIK
BOARD MEMBER
457 FREELAND
CALUMET CITY IL 60409

Officer/Director/Trustee Four

THOM MILLER
BOARD MEMBER
1415 NORTH CLINE AVENUE
GRIFFITH IL 46319

Officer/Director/Trustee Five

ERIC SCHNEIDER
BOARD MEMBER
655 GREENBAY
CALUMET CITY IL 60409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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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