FORM 1023-EZ for FENIX INC

Field Data
EIN 81-0962428
Case Number EO-2016085-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FENIX INC
Organization’s Mailing Address 17727 PAXTON AVE
City LANSING
State IL
ZIP 60438-1572
Accounting period End 12
Primary contact name ROBERT WILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLORIA BINS
OFFICER
4800 S LAKE PARK
CHICAGO IL 60615-2190

Officer/Director/Trustee Two

JULIAN WILEY
DIRECTOR
2951 S KING DRIVE
CHICAGO IL 60616-3344

Officer/Director/Trustee Three

LADONNA TAYLOR
DIRECTOR
17727 PAXTON AVE
LANSING IL 60438-1572

Officer/Director/Trustee Four

ROBERT WILEY
OFFICER
17727 PAXTON AVE
LANSING IL 60438-1572

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/2015
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 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
Signature Title
Signature Date

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