FORM 1023-EZ for AVENTURE

Field Data
EIN 83-2003086
Case Number EO-2018269-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVENTURE
Organization’s Mailing Address 270 N WOOD DALE RD
City WOOD DALE
State IL
ZIP 60191
Accounting period End 12
Primary contact name DANIEL MAZIARZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MAZIARZ
PRESIDENT
270 N WOOD DALE RD UNIT 95
WOOD DALE IL 60191

Officer/Director/Trustee Two

CHRISTIAN OSTROWSKI
BOARD MEMBER
270 N WOOD DALE RD UNIT 95
WOOD DALE IL 60191

Officer/Director/Trustee Three

TOMASZ WOJCIK
BOARD MEMBER
270 N WOOD DALE RD UNIT 95
WOOD DALE IL 60191

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 DANIEL MAZIARZ
Signature Title PRESIDENT
Signature Date 9/24/18

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