FORM 1023-EZ for INTERNATIONAL CENTER FOR COMMUNITY HEALTH PROMOTION AND EDUCATION

Field Data
EIN 81-1571946
Case Number EO-2016342-000033
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL CENTER FOR COMMUNITY HEALTH PROMOTION AND EDUCATION
Organization’s Mailing Address 1606 N TRUMAN ST
City ROBINSON
State IL
ZIP 62454-6838
Accounting period End 10
Primary contact name JUSTIN MCDANIEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN MCDANIEL
DIRECTOR OF FINANCE
1606 N TRUMAN
ROBINSON IL 62454-6838

Officer/Director/Trustee Two

KAAMEL NUHU
PRESIDENT
1606 N TRUMAN
ROBINSON IL 62454-6838

Officer/Director/Trustee Three

JUAN RUIZ
VICE PRESIDENT
1606 N TRUMAN
ROBINSON IL 62454-6838

Officer/Director/Trustee Four

JACOB AVERY
DIRECTOR OF ADMINISTRATION
1606 N TRUMAN
ROBINSON IL 62454-6838

Officer/Director/Trustee Five

GENEVIEVE ALORBI
DIRECTOR OF RESEARCH
1606 N TRUMAN
ROBINSON IL 62454-6838

Organization’s website WWW.ICCHPE.ORG
Organization’s email JUSTIN@ICCHPE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 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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