FORM 1023-EZ for BENJAMIN BANNEKER UNIVERSAL INSTITUTE LIMITED

Field Data
EIN 83-2041948
Case Number EO-2018298-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BENJAMIN BANNEKER UNIVERSAL INSTITUTE LIMITED
Organization’s Mailing Address 4104 N HIGHLAND AVE
City ARLINGTON HEIGHTS
State IL
ZIP 60004
Accounting period End 12
Primary contact name DAVE HERDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WESTLEY WALKER
PRESIDENT
353 MORNING STAR WAY
CASTLE ROCK CO 80108

Officer/Director/Trustee Two

JIM KEYES
TREASURER
4500 WESTGROVE SUITE 222
ADDISON TX 75001

Officer/Director/Trustee Three

DERRICK HOLMES
SECRETARY
1660 S ALBION SUITE 309
DENVER CO 80222

Officer/Director/Trustee Four

TIM HARDAWAY
DIRECTOR
4230 WOODLANDS LANE
ORCHARD LAKE IL 48323

Officer/Director/Trustee Five

DAVE HERDA
DIRECTOR
4104 N HIGHLAND AVE
ARLINGTON HEIGHTS IL 60004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DERRICK HOLMES
Signature Title SECRETARY
Signature Date 10/23/18

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