FORM 1023-EZ for ALPHA FOUNDATION OF PHI SIGMA RHO CORPORATION

Field Data
EIN 81-2873510
Case Number EO-2016162-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA FOUNDATION OF PHI SIGMA RHO CORPORATION
Organization’s Mailing Address 1001 DAVID ROSS RD
City WEST LAFAYETTE
State IN
ZIP 47906
Accounting period End 5
Primary contact name KATHY BARKAUSKAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHY BARKAUSKAS
VICE PRESIDENT - FINANCE
1245 RICHFIELD CT
WOODRIDGE IL 60517

Officer/Director/Trustee Two

LEANNE PRICE
PRESIDENT
8 E RANDOLPH UNIT 1505
CHICAGO IL 60601

Officer/Director/Trustee Three

JENNICA GREFFE
VICE PRESIDENT -FUNDRAISING
9715 LAKEBROOK CT
EVANSVILLE IN 47711

Officer/Director/Trustee Four

ALLISON GAUTHIER
TREASURER
459 TELLURIDE DR
GILBERTS IL 60136

Officer/Director/Trustee Five

LAUREL PETERSON
SECRETARY
451 W WRIGHTWOOD AVE APT 801
CHICAGO IL 60614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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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