FORM 1023-EZ for CONQUER LIFE FOUNDATION

Field Data
EIN 84-3336085
Case Number EO-2019311-000020
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONQUER LIFE FOUNDATION
Organization’s Mailing Address 845 N KINGSBURY ST UNIT 617
City CHICAGO
State IL
ZIP 60610
Accounting period End 12
Primary contact name ANA L R ARRUDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE COLLIAS
PRESIDENT
4683 CEDAR VILLAGE DR
MASON OH 45040

Officer/Director/Trustee Two

FERNANDA ARRUDA
VICE PRESIDENT
4366 MARYLAND AVE APT 104
ST LOUIS MO 63108

Officer/Director/Trustee Three

LUIZA BONET
SECRETARY
40 N WABASH AVE APT 4811
CHICAGO IL 60611

Officer/Director/Trustee Four

PAULA BUNN
TREASURER
512 N MCCLURG CT APT 4103
CHICAGO IL 60611

Officer/Director/Trustee Five

PEDRO ARRUDA
BOARD MEMBER
1812 STONEBRIDGE DR S
ANN ARBOR MI 48108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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 NATALIE COLLIAS
Signature Title PRESIDENT
Signature Date 11/5/19

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