FORM 1023-EZ for SOUL SURVIVORS OF CHICAGO NFP

Field Data
EIN 86-3722533
Case Number EO-2021176-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUL SURVIVORS OF CHICAGO NFP
Organization’s Mailing Address 759 BYRON CT
City OLYMPIA FIELDS
State IL
ZIP 60461
Accounting period End 12
Primary contact name RAFIAH MAXIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAFIAH MAXIE
PRESIDENT
759 BYRON CT
OLYMPIA FIELDS IL 60461

Officer/Director/Trustee Two

GWENDOLYN MAXIEBROWN
SECRETARY
4301 APPLEWOOD LANE
MATTESON IL 60443

Officer/Director/Trustee Three

KHALID MAXIE
VICE PRESIDENT
7506 VERNON
CHICAGO IL 60620

Officer/Director/Trustee Four

JADA CLAY
CORR SECRETARY
759 BYRON CT
OLYMPIA FIELDS IL 60461

Organization’s website SOULSURVIVORSOFCHICAGO.COM
Organization’s email SSOFCHICAGO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
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 GWENDOLYN MAXIEBROWN
Signature Title SECRETARY
Signature Date 6/23/2021

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