FORM 1023-EZ for BLUE SAINTS LE MC CORP

Field Data
EIN 83-2041512
Case Number EO-2018288-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE SAINTS LE MC CORP
Organization’s Mailing Address 5851 WEST 82ND STREET
City BURBANK
State IL
ZIP 60459
Accounting period End 6
Primary contact name DANIEL J LEMPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL NUNEZ
PRESIDENT
6745 S KOMENSKY
CHICAGO IL 60629

Officer/Director/Trustee Two

DANIEL LEMPA
VICE PRESIDENT
5851 WEST 82ND STREET
BURBANK IL 60459

Officer/Director/Trustee Three

RAPHAEL MITCHEM
SERGEANT AT ARMS
8542 S KOLMAR AVE
CHICAGO IL 60629

Officer/Director/Trustee Four

DOMINGO BALTAZAR
TREASUER
5620 S PERSHING ROAD
CICERO IL 60804

Officer/Director/Trustee Five

DANIEL GUTIERREZ
SECRETARY
7759 W ADDISON
CHICAGO IL 60634

Organization’s website
Organization’s email BLUESAINTSLEMC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 DANIEL LEMPA
Signature Title VICE PRESIDENT
Signature Date 10/11/18

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