FORM 1023-EZ for MOSAIC PLAYERS

Field Data
EIN 85-2179314
Case Number EO-2020212-000582
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSAIC PLAYERS
Organization’s Mailing Address 462 WINSOR DRIVE
City ANTIOCH
State IL
ZIP 60002
Accounting period End 7
Primary contact name REBECCA ZELLAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONSTANCE ENDERS
BOARD DIRECTOR
40555 N IL ROUTE 83
ANTIOCH IL 60002

Officer/Director/Trustee Two

MELISSA FRANK
BOARD DIRECTOR
147 STATION PARK CIRCLE
GRAYSLAKE IL 60030

Officer/Director/Trustee Three

TONY CALDARA
BOARD DIRECTOR
108 WHITE OAK DR
LINDENHURST IL 60046

Officer/Director/Trustee Four

REBECCA ZELLAR
FOUNDING OFFICER
462 WINSOR DRIVE
ANTIOCH, IL IL 60002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: No
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 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 REBECCA ZELLAR
Signature Title FOUNDING OFFICER
Signature Date 7/28/2020

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