FORM 1023-EZ for JEROME BURKE FOUNDATION

Field Data
EIN 83-3033906
Case Number EO-2019031-000814
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEROME BURKE FOUNDATION
Organization’s Mailing Address 1916 DOWNING AVENUE
City WESTCHESTER
State IL
ZIP 60154
Accounting period End 12
Primary contact name SALENA BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALENA BURKE
PRESIDENT
1916 DOWNING AVENUE
WESTCHESTER IL 60154

Officer/Director/Trustee Two

TIMOTHY LEE
VICE-PRESIDENT
1916 DOWNING AVENUE
WESTCHESTER IL 60154

Officer/Director/Trustee Three

MELAINE BURKE
SECRETARY
3600 N HALSTED
CHICAGO IL 60613

Organization’s website
Organization’s email SBURKE@JILSS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T21 - Corporate Foundations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SALENA BURKE
Signature Title PRESIDENT
Signature Date 1/7/19

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