FORM 1023-EZ for 617 INC

Field Data
EIN 85-2350021
Case Number EO-2020265-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 617 INC
Organization’s Mailing Address 430 E 162ND STREET NUMBER 762
City SOUTH HOLLAND
State IL
ZIP 60473
Accounting period End 12
Primary contact name RENEE DRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE DRAKE
PRESIDENT
14905 OAK STREET
DOLTON IL 60419

Officer/Director/Trustee Two

LATOYYA CAMERON
VICE PRESIDENT
22514 JEFFERY AVENUE
SAUK VILLAGE IL 60411

Officer/Director/Trustee Three

VICTOR CAMERON
MEMBER
22514 JEFFERY AVENUE
SAUK VILLAGE IL 60411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 RENEE DRAKE
Signature Title PRESIDENT
Signature Date 9/17/2020

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