FORM 1023-EZ for THE CHRYSALIS PROJECT NFP

Field Data
EIN 47-2315088
Case Number EO-2014321-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHRYSALIS PROJECT NFP
Organization’s Mailing Address 4366 CENTRAL AVENUE
City WESTERN SPRINGS
State IL
ZIP 60558
Accounting period End 12
Primary contact name STEVEN GOODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAIDEEP VISNUBHAKAT
PRESIDENT
1130 W CORNELIA AVE UNIT N
CHICAGO IL 60657

Officer/Director/Trustee Two

STEVEN GOODWIN
TREASURER
4366 CENTRAL AVENUE
WESTERN SPRINGS IL 60558

Officer/Director/Trustee Three

HEATHER VISHNUBHAKAT
SECRETARY
1130 W CORNELIA AVE UNIT N
CHICAGO IL 60657

Officer/Director/Trustee Four

JENNIFER LINZER
DIRECTOR
2519 ORRINGTON AVE
EVANSTON IL 60201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 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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