FORM 1023-EZ for 100 BLACK MEN OF CHICAGO SOUTH SUBURBS

Field Data
EIN 82-2765566
Case Number EO-2021088-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 100 BLACK MEN OF CHICAGO SOUTH SUBURBS
Organization’s Mailing Address PO BOX 766
City ORLAND PARK
State IL
ZIP 60438
Accounting period End 12
Primary contact name SEAN DENNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN DENNIS
DIRECTOR
2229 THORNTON LANSING ROAD
LANSING IL 60438

Officer/Director/Trustee Two

ELIJAH DENNIS
DIRECTOR
2229 THORNTON LANSING ROAD
LANSING IL 60438

Officer/Director/Trustee Three

SEAN DENNIS JR
DIRECTOR
2229 THORNTON LANSING ROAD
LANSING IL 60438

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SEAN DENNIS
Signature Title DIRECTOR
Signature Date 2/9/2021
EIN 82-2765566
Case Number EO-2017258-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 100 BLACK MEN OF CHICAGO SOUTH SUBURBS
Organization’s Mailing Address PO BOX 766
City ORLAND PARK
State IL
ZIP 60462
Accounting period End 12
Primary contact name SEAN DENNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN DENNIS
PRESIDENT
15329 BRASSIE DR
ORLAND PARK IL 60462

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2017
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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