FORM 1023-EZ for ELVIN J CAREY LIVING MEMORIAL

Field Data
EIN 82-4188755
Case Number EO-2018031-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELVIN J CAREY LIVING MEMORIAL
Organization’s Mailing Address 3728 SOUTH INDIANA AVENUE
City CHICAGO
State IL
ZIP 60653
Accounting period End 12
Primary contact name DERRICK STINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK STINSON
DIRECTOR
1444 E 146TH STREET
DOLTON IL 60419

Officer/Director/Trustee Two

VICTORIA ANDERSON
DIRECTOR
17717 STONEBRIDGE DRIVE
HAZELCREST ID 60429

Officer/Director/Trustee Three

MARK STROUD JR
DIRECTOR
21 SPINNING WHEEL DRIVE
HINSDALE IL 60521

Officer/Director/Trustee Four

WILLIAM CAREY II
DIRECTOR
8530 S BLACKSTONE AVENUE
CHICAGO IL 60619

Officer/Director/Trustee Five

OLLIE PERRYMAN
DIRECTOR
3550 S COTTAGE GROVE AVENUE
CHICAGO IL 60653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/14
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 DERRICK STINSON
Signature Title DIRECTOR
Signature Date 1/29/18

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