FORM 1023-EZ for SOUTH SUBURBAN WINGS INC

Field Data
EIN 35-2517363
Case Number EO-2014310-000482
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SUBURBAN WINGS INC
Organization’s Mailing Address 1403 BERRY LANE
City FLOSSMOOR
State IL
ZIP 60422
Accounting period End 6
Primary contact name ANA WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANA WASHINGTON
PRESIDENT
1403 BERRY LANE
FLOSSMOOR IL 60422

Officer/Director/Trustee Two

ERNEST WASHINGTON
VICE PRESIDENT
1403 BERRY LANE
FLOSSMOOR IL 60422

Officer/Director/Trustee Three

EVELYN OWENS
DIRECTOR
130 GRAYMOOR
OLYMPIA FIELDS IL 60422

Officer/Director/Trustee Four

LUDELLA GILMORE
DIRECTOR
314 N ORCHARD
PARK FOREST IL 60477

Officer/Director/Trustee Five

DEE LEE
FINANCIAL OFFICER
5164 IMPERIAL DRIVE
RICHTON PARK IL 60471

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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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