FORM 1023-EZ for BROWN HOUSE EXPERIENCE

Field Data
EIN 81-4055579
Case Number EO-2016302-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROWN HOUSE EXPERIENCE
Organization’s Mailing Address 6517 SOUTH CAMPBELL
City CHICAGO
State IL
ZIP 60629
Accounting period End 12
Primary contact name TIA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIA BROWN
PRESIDENT
6517 SOUTH CAMPBELL
CHICAGO IL 60629

Officer/Director/Trustee Two

NICOLE SCOTT
VICE PRESIDENT
5567 WEST VAN BUREN
CHICAGO IL 60644

Officer/Director/Trustee Three

NATASHEE SCOTT
SECRETARY
1632 SOUTH ALBANY
CHICAGO IL 60623

Officer/Director/Trustee Four

SHANINA MCCREGG
TREASURER
1651 NORTH MASON
CHICAGO IL 60639

Officer/Director/Trustee Five

DONNELL BROWN
DIRECTOR
6517 SOUTH CAMPBELL
CHICAGO IL 60629

Organization’s website
Organization’s email TBROWNHOUSEEXPERIENCE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2016
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: 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 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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