FORM 1023-EZ for ROBERT BARNEY PROSTATE CANCER FOUNDATION

Field Data
EIN 36-4456439
Case Number EO-2020111-000518
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROBERT BARNEY PROSTATE CANCER FOUNDATION
Organization’s Mailing Address 16834 GREENWOOD
City SOUTH HOLLAND
State IL
ZIP 60473
Accounting period End 11
Primary contact name KEILA COLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEILA COLBERT
EXECUTIVE DIRECTOR
16834 GREENWOOD
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Two

ERNESTINE BARNEY
C0DIREECTOR
9719 S CALUMET
CHICAGO IL 60628

Officer/Director/Trustee Three

DARRIEN COLBERT
CO ASST DIR
16834 GREENWOOD
SOUTH HOLLAND IL

Officer/Director/Trustee Four

TERRANCE BARNEY
ASST DIR
9719 S CALUMET
CHICAGO IL 60628

Officer/Director/Trustee Five

LAWRENCE NEELY
SECRETARY
1804 NW 70TH
KANSAS CITY MO 64151

Organization’s website
Organization’s email ROBERTBARNEYPCF@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEILA COLBERT
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/18/2020
EIN 36-4456439
Case Number EO-2016307-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROBERT BARNEY PROSTATE CANCER FOUNDATION LTD
Organization’s Mailing Address 14800 EDBROOKE AVENUE
City DOLTON
State IL
ZIP 60419
Accounting period End 12
Primary contact name KEILA BARNEY-COLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERNESTINE BARNEY
DIRECTOR
14800 EDBROOKE AVENUE
DOLTON IL 60419

Officer/Director/Trustee Two

TERRANCE BARNEY
INSIDE DIRECTOR
14800 EDBROOKE AVENUE
DOLTON IL 60419

Officer/Director/Trustee Three

DARRIEN COLBERT
NOMINEE DIRECTOR
14800 EDBROOKE AVENUE
DOLTON IL 60419

Officer/Director/Trustee Four

KEILA COLBERT
EXECUTIVE DIRECTOR
14800 EDBROOKE AVENUE
DOLTON IL 60419

Organization’s website
Organization’s email KEILAC1@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2003
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
Donation of funds Yes
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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