FORM 1023-EZ for CHICAGO PINBALL MUSEUM

Field Data
EIN 82-2764391
Case Number EO-2017257-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICAGO PINBALL MUSEUM
Organization’s Mailing Address 3716 WEST DICKENS AVE
City CHICAGO
State IL
ZIP 60647-3409
Accounting period End 12
Primary contact name JOHN PAUL JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN PAUL JONES
FOUNDER
3716 WEST DICKENS AVE
CHICAGO IL 60647-3409

Officer/Director/Trustee Two

JENNY CAMPBELL
CO-FOUNDER
3716 WEST DICKENS AVE
CHICAGO IL 60647

Officer/Director/Trustee Three

DAVID LEVIN
BOARD MEMBER
1533 W HOLLYWOOD AVE
CHICAGO IL 60660-5404

Organization’s website WWW.CHICAGOPINBALL.ORG
Organization’s email JP@CHICAGOPINBALL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A57 - Science and Technology Museums
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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