FORM 1023-EZ for ONE PLUS ONE MOTHERS OF MULTIPLES

Field Data
EIN 36-3943536
Case Number EO-2014261-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE PLUS ONE MOTHERS OF MULTIPLES
Organization’s Mailing Address PO BOX 957051
City HOFFMAN ESTATES
State IL
ZIP 60195-7057
Accounting period End 6
Primary contact name SHARON LYCZAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON LYCZAK
PRESIDENT
1365 MEYER RD
HOFFMAN ESTATES IL 60169-1219

Officer/Director/Trustee Two

KATIE PRZYSZLAK
TREASURER
123 WEYMOUTH CT
SCHAUMBURG IL 60193-1156

Officer/Director/Trustee Three

RYAN BLAZIER
2ND VP MEMBERSHIP
540 SHORELY DR NUMBER 204
BARRINGTON IL 60010-3307

Officer/Director/Trustee Four

JENNY INFANTINO
2ND VP MEMBERSHIP
935 WEST WEATHERSFIELD WAY
SCHAUMBURG IL 60193-2647

Officer/Director/Trustee Five

PEGGY FRANK
3RD VP MOMS HELPING MOMS
1340 FAIRMONT ROAD
HOFFMAN ESTATES IL 60169-1211

Organization’s website WWW.ONEPLUSONEMOMS.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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