FORM 1023-EZ for GREAT LAKES OPTOMETRIC CONGRESS NFP

Field Data
EIN 84-3851609
Case Number EO-2019357-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREAT LAKES OPTOMETRIC CONGRESS NFP
Organization’s Mailing Address 1325 W HOWARD ST SUITE 304
City EVANSTON
State IL
ZIP 60202
Accounting period End 5
Primary contact name JEFF GETZELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNETTE BURGESS
DIRECTOR AND TREASURER
4467 BYRON CENTER AVE SW
WYOMING MI 49519

Officer/Director/Trustee Two

JEFFREY GETZELL
DIRECTOR AND PRESIDENT
1325 W HOWARD ST SUITE 304
EVANSTON IL 60202

Officer/Director/Trustee Three

BRANDON BEGOTKA
DIRECTOR AND VICE PRESIDENT
13255 W BLUEMOUND RD SUITE 200
BROOKFIELD WI 53005

Officer/Director/Trustee Four

JOHN LOESCH
DIRECTOR
315 STRATFORD SQUARE MALL C15
BLOOMINGDALE IL 60108

Officer/Director/Trustee Five

DAVID MAZE
SECRETARY
136 N CASS AVE
WESTMONT IL 60559

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 JEFFREY GETZELL
Signature Title DIRECTOR AND PRESIDENT
Signature Date 12/20/2019

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