FORM 1023-EZ for JEANETTA AND ANDRE CARDINE FAMILY FOUNDATION NFP

Field Data
EIN 47-5237464
Case Number EO-2016004-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEANETTA AND ANDRE CARDINE FAMILY FOUNDATION NFP
Organization’s Mailing Address 16702 PRINCE DR LOWER LEVEL
City SOUTH HOLLAND
State IL
ZIP 60473
Accounting period End 12
Primary contact name JEANETTA CARDINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDRE CARDINE
PRESIDENT
16702 PRINCE DR LOWER LEVEL
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Two

JEANETTA CARDINE
V. PRESIDENT
16702 PRINCE DR LOWER LEVEL
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Three

BETTY FISHER
V. PRESIDENT
16702 PRINCE DR LOWER LEVEL
SOUTH HOLLAND IL 60473

Organization’s website JACFAMILYFOUNDATION.COM
Organization’s email ADMIN@JACFAMILYFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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