FORM 1023-EZ for OMEGA COMMUNITY HUMAN SERVICES ORGANIZATION INC

Field Data
EIN 82-5115797
Case Number EO-2018128-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA COMMUNITY HUMAN SERVICES ORGANIZATION INC
Organization’s Mailing Address 1717 HOWARD ST
City EVANSTON
State IL
ZIP 60202-3735
Accounting period End 7
Primary contact name NELIA LADLAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NELIA LADLAD
PROGRAM CONSULTANT
1717 HOWARD ST
EVANSTON IL 60202-3735

Officer/Director/Trustee Two

EDUARDO LADLAD
PRESIDENT
1717 HOWARD ST
EVANSTON IL 60202-3735

Officer/Director/Trustee Three

REYNALDO ESPIRITU
VICE PRESIDENT
1717 HOWARD ST
EVANSTON IL 60202-3735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
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: 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 Yes
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 EDUARDO LADLAD
Signature Title PRESIDENT
Signature Date 4/30/18

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