FORM 1023-EZ for TRANSPLANT VILLAGE NFP

Field Data
EIN 82-3729877
Case Number EO-2018054-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRANSPLANT VILLAGE NFP
Organization’s Mailing Address 9 LYDIA COURT
City HAWTHORN WOODS
State IL
ZIP 60047
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL DICKINSON
PRESIDENT/DIRECTOR
9 LYDIA COURT
HAWTHORN WOODS IL 60047

Officer/Director/Trustee Two

LAURA LEE
SECRETARY/TREASURER/DIRECTOR
120 HICKORY NUT GROVE LANE
CARY IL 60013

Officer/Director/Trustee Three

AMBER KAHN
DIRECTOR
N31W23843 OLD FARM CT
PEWAUKEE WI 53072

Officer/Director/Trustee Four

EILEEN TIERNEY
DIRECTOR
591 SOUTH COUNTRY RIDE COURT
LAKE ZURICH IL 60047

Officer/Director/Trustee Five

JAMES YARDLEY
DIRECTOR
229 MAPLE
WINNETKA IL 60091

Organization’s website WWW.TRANSPLANTVILLAGE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/18
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: Yes
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 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 DANIEL DICKINSON
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/21/18

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