FORM 1023-EZ for A GOLDEN DREAM

Field Data
EIN 83-3447285
Case Number EO-2019105-000588
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A GOLDEN DREAM
Organization’s Mailing Address 2300 COLLINS ST
City BLUE ISLAND
State IL
ZIP 60406
Accounting period End 6
Primary contact name JENELLE L ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENELLE ROSS
FOUNDER/PRESIDENT
2ND FLR
BLUE ISLAND IL 60406

Officer/Director/Trustee Two

NICHOLE BRUCE
VICE PRESIDENT
9201 S CENTRAL PARK
EVERGREEN PARK IL 60805

Officer/Director/Trustee Three

SHIRLEY ROSS
SECRETARY
409 E 73RD STREET 2ND FLOOR
CHICAGO IL 60619

Organization’s website
Organization’s email INFO@AGOLDENDREAM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior 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 JENELLE ROSS
Signature Title FOUNDER/PRESIDENT
Signature Date 4/12/19

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