FORM 1023-EZ for PFPD FOUNDATION

Field Data
EIN 81-2251586
Case Number EO-2017230-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PFPD FOUNDATION
Organization’s Mailing Address 23748 W 135TH ST
City PLAINFIELD
State IL
ZIP 60544
Accounting period End 12
Primary contact name NICOLE IRWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCE BAUDEK
PRESIDENT AND DIRECTOR
12801 S SKYLINE DRIVE
PLAINFILED IL 60585

Officer/Director/Trustee Two

JIM MELANIPHY
TREASURER AND DIRECTOR
13420 ROUND BARN ROAD
PLAINFIELD IL 60585

Officer/Director/Trustee Three

NICOLE IRWIN
SECRETARY AND DIRECTOR
22236 W NORWICH LANE
PLAINFIELD IL 60544

Officer/Director/Trustee Four

JERED ZUBATY
DIRECTOR
11346 S OAK PARK AVE
WORTH IL 60482

Officer/Director/Trustee Five

KAREN KELLY
DIRECTOR
3615 INDIAN HEAD LANE
JOLIET IL 60435

Organization’s website HTTP://WWW.PLAINFIELDFPD.ORG/PFPD-FOUNDATION/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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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