FORM 1023-EZ for THE BOUNCE BACK SPORTS FOUNDATION

Field Data
EIN 83-3606672
Case Number EO-2019252-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BOUNCE BACK SPORTS FOUNDATION
Organization’s Mailing Address 6200 SOUTH INGLESIDE UNIT 5C
City CHICAGO
State IL
ZIP 60637
Accounting period End 12
Primary contact name WYNTON PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WYNTON PARKER
PRESIDENT
62
CHICAGO IL 60637

Officer/Director/Trustee Two

LYNDA DAHER
VICE PRESIDENT
4455 SOUTH BERKLEY APT 1
CHICAGO IL 60653

Officer/Director/Trustee Three

JACK KILLHEFFER
SECRETARY
1637 WEST OLIVE AVENUE APT 2
CHICAGO IL 60660

Organization’s website HTTP://BOUNCEBACKSPORTS.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 WYNTON PARKER
Signature Title PRESIDENT
Signature Date 9/5/19

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