FORM 1023-EZ for ERICA GWEN FOUNDATION NFP

Field Data
EIN 82-5344610
Case Number EO-2018207-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ERICA GWEN FOUNDATION NFP
Organization’s Mailing Address 1160 RAVINIA DR
City GURNEE
State IL
ZIP 60031
Accounting period End 12
Primary contact name DONNA BUSCHICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA BUSCHICK
PRESIDENT
1160 RAVINIA DR
GURNEE IL 60031

Officer/Director/Trustee Two

ERIC BUSCHICK
VICE PRESIDENT
1160 RAVINIA DR
GURNEE IL 60031

Officer/Director/Trustee Three

JACKIE BROCK
TREASURER
35125 N OAK KNOLL CIRCLE
GURNEE IL 60031

Officer/Director/Trustee Four

DIANE HEBIOR
SECRETARY
910 EATON CT
LAKE VILLA IL 60046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 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 DONNA BUSCHICK
Signature Title PRESIDENT
Signature Date 7/24/18

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