FORM 1023-EZ for ONCE WAS LOST NFP

Field Data
EIN 47-3036257
Case Number EO-2015043-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONCE WAS LOST NFP
Organization’s Mailing Address 1808 N ARLINGTON HEIGHTS RD
City ARLINGTON HEIGHTS
State IL
ZIP 60004-3910
Accounting period End 12
Primary contact name JOY JACOBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOY JACOBY
CEO
1808 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL 60004-3910

Officer/Director/Trustee Two

LAURA KELLY
CFO
325 LAMBTON
NAPLES FL 34014-7868

Officer/Director/Trustee Three

JENNIFER JACOBY
CHAIRPERSON
620 LAVERS CICRLE APT 121
DELRAY BEACH FL 33444

Officer/Director/Trustee Four

BRIAN JACOBY
DIRECTOR
1801 W DIVERSEY UNIT 7
CHICAGO IL 60614

Officer/Director/Trustee Five

NANCY SCHAEFER
DIRECTOR
5226 DON MIGUEL DR
CARLSBAD CA 92010-3034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 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 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
Signature Title
Signature Date

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