FORM 1023-EZ for A MOTHERS WAY

Field Data
EIN 81-4273560
Case Number EO-2016308-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A MOTHERS WAY
Organization’s Mailing Address 11842 S PARNELL AVE
City CHICAGO
State IL
ZIP 60628
Accounting period End 9
Primary contact name JACQUES WHATLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUES WHATLEY
CHIEF EXECUTIVE OFFICER/BOARD MEMBE
11842 S PARNELL AVE
CHICAGO IL 60628

Officer/Director/Trustee Two

DARRYL MOORE
BOARD MEMBER
1710 GOLF ROAD APT 221
WAUKEGAN IL 60087

Officer/Director/Trustee Three

BRELIN JONES
PROGRAM DIRECTOR/BOARD MEMBER
1954 W 115TH STREET
CHICAGO IL 60643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 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
Signature Title
Signature Date

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