FORM 1023-EZ for DORIS & CLARA COMMUNITY INITIATIVECO

Field Data
EIN 83-1757147
Case Number EO-2018247-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DORIS & CLARA COMMUNITY INITIATIVECO
Organization’s Mailing Address 1220 S KEDVALE AVE
City CHICAGO
State IL
ZIP 60623
Accounting period End 12
Primary contact name ANTWON JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTWON JAMES
PRESIDENT
1220 S KEDVALE AVE
CHICAGO IL 60623

Officer/Director/Trustee Two

CHERONDA EVERETT
CHAIR
1721 MANESS COURT
SYCAMORE IL 60178

Officer/Director/Trustee Three

CANDACE KNIGHT
SECRETARY
7943 S SACRAMENTO
CHICAGO IL 60652

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/18
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: 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 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 CHERONDA EVERETT
Signature Title CHAIR
Signature Date 8/30/18
EIN 83-1757147
Case Number EO-2018247-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DORIS & CLARA COMMUNITY INITIATIVE CO
Organization’s Mailing Address 1220 S KEDVALE AVE
City CHICAGO
State IL
ZIP 60623
Accounting period End 12
Primary contact name ANTWON JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTWON JAMES
PRESIDENT
1220 S KEDVALE AVE
CHICAGO IL 60623

Officer/Director/Trustee Two

CHERONDA EVERETT
CHAIR
1721 MANESS COURT
SYCAMORE IL 60178

Officer/Director/Trustee Three

CANDACE KNIGHT
SECRETARY
7943 S SACRAMENTO
CHICAGO IL 60652

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/18
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: 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 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 CHERONDA EVERETT
Signature Title CHAIR
Signature Date 8/30/18

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