FORM 1023-EZ for NIGHTINGALE ENSEMBLE INC

Field Data
EIN 84-2172456
Case Number EO-2019176-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIGHTINGALE ENSEMBLE INC
Organization’s Mailing Address 1343 W IRVING PARK ROAD UNIT 13174
City CHICAGO
State IL
ZIP 60611
Accounting period End 12
Primary contact name RYAN WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COCO HOLBROOK
CHAIR
43 SAINT MARYS STREET APT 3
BROOKLINE MA 2446

Officer/Director/Trustee Two

KEITH HOLBROOK
TREASURER
1969 IMPERIAL STREET
SALT LAKE CITY UT 84105

Officer/Director/Trustee Three

KELLI WALLACE
SECRETARY
5 ST ELIZABETH CT
OFALLON MO 63366

Officer/Director/Trustee Four

RYAN WALLACE
EXECUTIVE DIRECTOR
3930 N PINE GROVE AVE APT 2905
CHICAGO IL 60613

Officer/Director/Trustee Five

ZOE WALLACE
ARTISTIC DIRECTOR
3930 N PINE GROVE AVE APT 2905
CHICAGO IL 60613

Organization’s website WWW.NIGHTINGALEENSEMBLE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 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 ZOE WALLACE
Signature Title ARTISTIC DIRECTOR
Signature Date 6/21/19

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