FORM 1023-EZ for A WORKING VISION

Field Data
EIN 81-2090619
Case Number EO-2016148-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A WORKING VISION
Organization’s Mailing Address 1220 W INDIAN TRL APT 6
City AURORA
State IL
ZIP 60506
Accounting period End 12
Primary contact name CODY LAPLANTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CODY LAPLANTE
SECRETARY
810 KIMBERLY DRIVE APT 207
DEKALB IL 60115

Officer/Director/Trustee Two

BROOKE CHRISTENSON
TREASURER
1220 W INDIAN TR APT 6
AURORA IL 60506

Officer/Director/Trustee Three

JUSTIN HAEGELE
PRESIDENT
1040 SPOTSWOOD AVE APT 106
NORFOLK VA 23507

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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