FORM 1023-EZ for BLACK INDEPENDENT PARENT ORGANIZATION

Field Data
EIN 82-1419164
Case Number EO-2018164-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK INDEPENDENT PARENT ORGANIZATION
Organization’s Mailing Address 910 E 80TH STREET
City CHICAGO
State IL
ZIP 60619
Accounting period End 4
Primary contact name JACQUELINE BUTLER-HOBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE BUTLER
PRESIDENT
910 E 80TH STREET
CHICAGO IL 60619

Officer/Director/Trustee Two

RASHAWN HOBBS
SECRETARY
7335 S COLES 3NE
CHICAGO IL 60649

Officer/Director/Trustee Three

REGINALD HAMILTON
TREASURER
1653 E 74TH PLACE 3
CHICAGO IL 60649

Organization’s website PENDING
Organization’s email JACKIEEBUTLER910@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/18
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 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 JACQUELINE BUTLER
Signature Title PRESIDENT
Signature Date 6/11/18

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