FORM 1023-EZ for PHENOMENAL KIDS ACADEMY NFP

Field Data
EIN 47-2476265
Case Number EO-2014342-000423
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHENOMENAL KIDS ACADEMY NFP
Organization’s Mailing Address 3512 WEST 159TH STREET
City MARKHAM
State IL
ZIP 60428
Accounting period End 12
Primary contact name BETTY MCCULLOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHYLLIS CHEW
DIRECTOR
174 ROBIN DRIVE
LYNWOOD IL 60411

Officer/Director/Trustee Two

MARY FEATHERSTONE
DIRECTOR
19337 OAK AVENUE
COUNTRY CLUB HILLS IL 60478

Officer/Director/Trustee Three

JOHNIE MCDOUGLE
DIRECTOR
116 WEST 104TH PLACE
CHICAGO IL 60628

Officer/Director/Trustee Four

BETTY MCCULLOUGH
DIRECTOR
17100 VOLBRECHT ROAD
SOUTH HOLLAND IL 60473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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