FORM 1023-EZ for HAZEL DENISE HOUSE INC

Field Data
EIN 94-3463521
Case Number EO-2020261-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAZEL DENISE HOUSE INC
Organization’s Mailing Address 1903 BROOKDALE RD APT104
City NAPERVILLE
State IL
ZIP 60563
Accounting period End 12
Primary contact name DOREEN A STREETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DYRELL LEE
PRESIDENT
1903 BROOKDALE RD APT 104
NAPERVILLE IL 60563

Officer/Director/Trustee Two

VALENCIA LAW
VICE PRESIDENT
210 PACIFIC DR
BOLINGBROOK IL 60440

Officer/Director/Trustee Three

KAYLA BRYANT
SECRETARY
2684 VILLAGE GREEN DR B2
AURORA IL 60504

Officer/Director/Trustee Four

ZAKIYYAH BROWN
TREASURER
1103 WINTHROP AVE
JOLIET IL 60435

Officer/Director/Trustee Five

JASMINE ROSS
DIRECTOR
1202 BROOKSTONE RIDE
COLLEGE PARK GA 30349

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2008
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DYRELL LEE
Signature Title PRESIDENT
Signature Date 9/15/2020

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