FORM 1023-EZ for DOMIP INC

Field Data
EIN 81-3990415
Case Number EO-2019036-001172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMIP INC
Organization’s Mailing Address 1405 EMBASSY LANE
City FORD HEIGHTS
State IL
ZIP 60411
Accounting period End 12
Primary contact name TASHA HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TASHA HUGHES
DIRECTOR
1405 EMBASSY LANE
FORD HEIGHTS IL 60411

Officer/Director/Trustee Two

TERRELL MCKINNEY
DIRECTOR
800 S WELLS APT 1451
CHICAGO IL 60607

Officer/Director/Trustee Three

DEONTE TANNER
DIRECTOR
6223 S JUTINE STREET
CHICAGO IL 60636

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/16
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 TASHA HUGHES
Signature Title DIRECTOR
Signature Date 1/23/19

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