| Field | Data |
|---|---|
| EIN | 45-4499395 |
| Case Number | EO-2020212-000634 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KEISHA L WORTHINGTON MARTINEZ FOUNDATION |
| Organization’s Mailing Address | 8420 S HERMITAGE |
| City | CHICAGO |
| State | IL |
| ZIP | 60620 |
| Accounting period End | 12 |
| Primary contact name | ANGELA SUSBERRY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MICHAEL WORTHINGTON
PRESIDENT
2827 MANOR ROAD 4104
AUSTIN TX 78722
LINDA BLEDSOE
SECRETARY
3605 15TH STREET
KENOSHA WI 53144
TRACY DAWSON
TREASURER
3410 COUNTY ROAD 74
SELMA AL 36703
ANGELA SUSBERRY
DIRECTOR
1649 E 50TH APT 15D
CHICAGO IL 60615
CHRISTOPHER WORTHINGTON
ASST DIRECTOR
1078 BERGAN STREET UNIT 1A
BROOKLYN NY 11216
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/19/2019 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| Organization’s purpose | Charitable: Yes 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 | MICHAEL WORTHINGTON |
| Signature Title | PRESIDENT |
| Signature Date | 7/28/2020 |
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