FORM 1023-EZ for COVENANT OUTREACH SERVICES NFP

Field Data
EIN 85-3964748
Case Number EO-2021168-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVENANT OUTREACH SERVICES NFP
Organization’s Mailing Address 5628 MURRAY DRIVE
City BERKELEY
State IL
ZIP 60163-1454
Accounting period End 12
Primary contact name VALERIE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE WILLIAMS
PRESIDENT AND DIRECTOR
5628 MURRAY DRIVE
BERKELEY IN 60163-1454

Officer/Director/Trustee Two

ANDREA ROUTEN
SECRETARY AND DIRECTOR
5625 MURRAY DRIVE
BERKELEY IL 60163-1454

Officer/Director/Trustee Three

WILLA ANDERSON
TREASURER AND DIRECTOR
2201 DREXEL WAY
DUNWOODY GA 30346-1960

Officer/Director/Trustee Four

ELIZABETH HOPE
DIRECTOR
1320 W WASHBURNE AVE
CHICAGO IL 60608-1425

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VALERIE WILLIAMS
Signature Title PRESIDENT AND DIRECTOR
Signature Date 6/15/2021

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