FORM 1023-EZ for CHURCH OF THE LIVING GOD 120

Field Data
EIN 36-4411468
Case Number EO-2016075-000047
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHURCH OF THE LIVING GOD 120
Organization’s Mailing Address 6000 SOUTH UNION AVENUE
City CHICAGO
State IL
ZIP 60621
Accounting period End 12
Primary contact name TRACY WIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH HOUSER
CHAIRMAN
15168 FORESTVIEW LANE
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Two

TRACIE WALKER
CO-CHAIRMAN
8425 SOUTH DAMEN AVENUE
CHICAGO IL 60620

Officer/Director/Trustee Three

DARNITA HOUSER
SECRETARY
16138 SOUTH DREXEL
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Four

JOHN HOUSER
TREASURER
15168 FORESTVIEW LANE
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Five

VERNETT FULCE
FACILITOR
410 SOUTH 12TH AVENUE
MAYWOOD IL 60153

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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