FORM 1023-EZ for MATHER CROSS COUNTRY BOOSTER

Field Data
EIN 83-4266052
Case Number EO-2019126-000626
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATHER CROSS COUNTRY BOOSTER
Organization’s Mailing Address 6119 N FAIRFIELD AVE APT 1
City CHICAGO
State IL
ZIP 60659
Accounting period End 6
Primary contact name CLYDE GEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLYDE GEE
PRESIDENT
6119 N FAIRFIELD AVE APT 1
CHICAGO IL 60659

Officer/Director/Trustee Two

AHMED SALAHADIN
TREASURER
6134 N CAMPBELL APT 2
CHICAGO IL 60659

Officer/Director/Trustee Three

HASSAN KASIM
SECRETARY
2736 W ARTHUR
CHICAGO IL 60645

Officer/Director/Trustee Four

JOSE VARGAS
BOARD MEMBER
4507 N CENTRAL PARK 1A
CHICAGO IL 60625

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 CLYDE GEE
Signature Title PRESIDENT
Signature Date 5/3/19

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