FORM 1023-EZ for COMMUNITY JIGSAW NFP
| Field | Data |
|---|---|
| EIN | 85-4280429 |
| Case Number | EO-2021090-000075 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY JIGSAW NFP |
| Organization’s Mailing Address | 19509 LAKE PARK DR |
| City | LYNWOOD |
| State | IL |
| ZIP | 60411 |
| Accounting period End | 12 |
| Primary contact name | MONIET HOLLOWAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MONIET HOLLOWAY
EXECUTIVE DIRECTOR
19509 LAKE PARK DR
LYNWOOD IL 60411
Officer/Director/Trustee Two
JIM HOLLOWAY
DIRECTOR
15802 SPAULDING AVENUE
MARKHAM IL 60426
Officer/Director/Trustee Three
JIM HOLLOWAY JR
DIRECTOR
3808 BROOKVALE PL
DECATUR GA 30034
Officer/Director/Trustee Four
ANDREA JONES
DIRECTOR
8202 WATERBURY DRIVE
JOLIET IL 60431
Officer/Director/Trustee Five
RODNINA SIMS TATE
DIRECTOR
8018 S PEORIA
CHICAGO IL 60620
| Organization’s website | N/A |
|---|---|
| Organization’s email | moniethollo@gmail.com |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/15/2020 |
| 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 | 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 | MONIET HOLLOWAY |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/16/2021 |
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