FORM 1023-EZ for PHANDEMONIUM INC

Field Data
EIN 36-4099066
Case Number EO-2016039-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHANDEMONIUM INC
Organization’s Mailing Address 126 E WING ST SUITE 244
City ARLINGTON HEIGHTS
State IL
ZIP 60004
Accounting period End 3
Primary contact name SYDNIE KRAUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEANE VERHULST
TREASURER
4321 MAPLE AVE
BROOKFIELD IL 60513

Officer/Director/Trustee Two

HELEN MONTGOMERY
BOARD PRESIDENT
7665 N SHERIDAN RD 1A
CHICAGO IL 60626

Officer/Director/Trustee Three

SONDRA DEJONG
BOARD MEMBER
4435 N WINCHESTER 3B
CHICAGO IL 60640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/1996
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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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