FORM 1023-EZ for COMMUNITY FOUNDATION OF MATTESON

Field Data
EIN 81-3443418
Case Number EO-2016237-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY FOUNDATION OF MATTESON
Organization’s Mailing Address 6222 WHITE BIRCH LANE
City MATTESON
State IL
ZIP 60443
Accounting period End 6
Primary contact name SAM BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM BROWN
DIRECTOR
6222 WHITE BIRCH LANE
MATTESON ID 60443

Officer/Director/Trustee Two

GLENN MEEKS
DIRECTOR
3141 CHICAGO PLACE
SOUTH CHICAGO HTS ID 60411

Officer/Director/Trustee Three

KATEY ASSEM
DIRECTOR
1231 E 47TH ST 3W
CHICAGO IL 60653

Officer/Director/Trustee Four

SABRINA PATCH
DIRECTOR
3011 W 183RD ST
HOMEWOOD IL 60430

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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