FORM 1023-EZ for DORCAS DESTINY INTERNATIONAL

Field Data
EIN 82-1950923
Case Number EO-2017177-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DORCAS DESTINY INTERNATIONAL
Organization’s Mailing Address 417 DESPLAINES AVENUE UNIT 684
City FOREST PARK
State IL
ZIP 60130
Accounting period End 5
Primary contact name DONNA V WERNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA WERNER
BOARD CHAIR
PO BOX 684
FOREST PARK IL 60130

Officer/Director/Trustee Two

LEE WERNER
TREASURER
124 N AUSTIN BLVD
OAK PARK IL 60302

Officer/Director/Trustee Three

MICHELLE SIMMONS
BOARD MEMBER
808 W LAKESIDE
CHICAGO IL 60640

Officer/Director/Trustee Four

GARY HATTER
BOARD MEMBER
PO BOX 5327
OLYMPIA WA 98509

Officer/Director/Trustee Five

TRINA BAKER
VICE CHAIRPERSON
21397 STAHELIN
SOUTHFIELD MI 48075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2017
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 Yes
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
Signature Title
Signature Date

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