FORM 1023-EZ for ACTUS FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3043702 |
| Case Number | EO-2019038-000228 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ACTUS FOUNDATION |
| Organization’s Mailing Address | 32W045 WILL WAY |
| City | WAYNE |
| State | IL |
| ZIP | 60184-2308 |
| Accounting period End | 12 |
| Primary contact name | ANDRZEJ PALCZEWSKI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDRZEJ PALCZEWSKI
PRESIDENT
32W045 WILL WAY
WAYNE ID 60184-2308
Officer/Director/Trustee Two
SARAH RIVIERE
VICE PRESIDENT
758 S HARVARD CT
PALATINE IL 60067-6664
Officer/Director/Trustee Three
ANDRZEJ SR PALCZEWSKI
TREASURER
709 HACKBERRY CT
BARTLETT IL 60103-2120
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/4/18 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T22 - Private Independent Foundations |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ANDRZEJ PALCZEWSKI |
| Signature Title | PRESIDENT |
| Signature Date | 1/29/19 |
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