FORM 1023-EZ for CHICAGO GSA PROM

Field Data
EIN 47-3661763
Case Number EO-2015100-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICAGO GSA PROM
Organization’s Mailing Address 6454 N CAMPBELL AVENUE
City CHICAGO
State IL
ZIP 60645-5314
Accounting period End 6
Primary contact name NOA PADOWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NOA PADOWITZ
PRESIDENT
6454 N CAMPBELL AVENUE
CHICAGO IL 60645-5314

Officer/Director/Trustee Two

ALEXIS WIESELMAN
VICE PRESIDENT
832 W 33RD PLACE
CHICAGO IL 60608-6702

Officer/Director/Trustee Three

ELISE LEVI
SECRETARY
240 RIVER STREET
SANTA CRUZ CA 95060-2773

Organization’s website WWW.CHICAGOGSAPROM.ORG
Organization’s email CHICAGOGSAPROM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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