FORM 1023-EZ for TARIQ TANK JACKSON FOUNDATION

Field Data
EIN 82-1955081
Case Number EO-2019164-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TARIQ TANK JACKSON FOUNDATION
Organization’s Mailing Address 8809 S STONY ISLAND AVE UNIT 2
City CHICAGO
State IL
ZIP 60617-2811
Accounting period End 12
Primary contact name SHEMIKO JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEMIKO JACKSON
PRESIDENT /TREASURER
8809 S STONY ISLAND UNIT 2
CHICAGO IL 60617-2811

Officer/Director/Trustee Two

DEREK SPARKS
BOARD MEMBER
23814 114 AVE SE
KENT WA 98031-3489

Officer/Director/Trustee Three

ASHLEY HARDAWAY
BOARD MEMBER
4624 S VINCENNES AVE C1
CHICAGO IL 60653-4249

Officer/Director/Trustee Four

TIFFANY THOMAS
SECRETARY
3878 LANDGRAF COVE
DECATUR GA 30034-4738

Officer/Director/Trustee Five

TRINITY JACKSON
BOARD MEMBER
12439 S HONORE
CALUMET PARK IL 60827-5618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 SHEMIKO JACKSON
Signature Title PRESIDENT /TREASURER
Signature Date 6/11/19

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