FORM 1023-EZ for DBSA HEART OF CHICAGO
| Field | Data |
|---|---|
| EIN | 85-3835591 |
| Case Number | EO-2021085-001162 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DBSA HEART OF CHICAGO |
| Organization’s Mailing Address | PO BOX 408784 |
| City | CHICAGO |
| State | IL |
| ZIP | 60640-8784 |
| Accounting period End | 12 |
| Primary contact name | MONICA NIKEL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MYKELL MILLER
PRESIDENT
4645 N MAGNOLIA AVE UNIT GS
CHICAGO IL 60640-4969
Officer/Director/Trustee Two
BEAU DODSON
TREASURER
222 N COLUMBUS DRIVE
CHICAGO IL 60601-7825
Officer/Director/Trustee Three
KAITLIN MARTIN
EXECUTIVE VICE PRESIDENT
4127 N ASHLAND AVE
CHICAGO IL 60613-6663
Officer/Director/Trustee Four
LAUREN REDMAN
SECRETARY
622 W PATTERSON
CHICAGO IL 60613-4407
Officer/Director/Trustee Five
MONICA NIKEL
BOARD OF DIRECTORS MEMBER
2611 CLINTON AVE
BERWYN IL 60402-2566
| Organization’s website | HTTPS://WWW.DBSAHEARTOFCHICAGO.ORG |
|---|---|
| Organization’s email | DBSAHEARTOFCHICAGO@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/2020 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: No 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 | MONICA NIKEL |
| Signature Title | BOARD OF DIRECTORS MEMBER |
| Signature Date | 2/5/2021 |
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