FORM 1023-EZ for CHICAGO VETERANS INITIATIVE CO

Field Data
EIN 81-2157358
Case Number EO-2016138-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICAGO VETERANS INITIATIVE CO
Organization’s Mailing Address 6048 W 79TH ST UNIT 3
City BURBANK
State IL
ZIP 60459
Accounting period End 12
Primary contact name DEREK KASNIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN GONZALEZ
PRESIDENT
6048 W 79TH ST UNIT 3
BURBANK IL 60459

Officer/Director/Trustee Two

DEREK KASNIA
VICE-PRESIDENT
6339 W 63 PL
CHIICAGO IL 60638

Officer/Director/Trustee Three

SCOT PACANA
SECRETARY/TREASURER
8318 RUTHERFORD AVE
BURBANK IL 60459

Organization’s website N/A
Organization’s email JUSTINMGONZALEZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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