FORM 1023-EZ for COOK COUNTY SHERIFFS MEMORIAL FOUNDATION 365

Field Data
EIN 46-5222042
Case Number EO-2015240-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COOK COUNTY SHERIFFS MEMORIAL FOUNDATION 365
Organization’s Mailing Address 15941 SOUTH HARLEM AVENUE
City TINLEY PARK
State IL
ZIP 60477-1609
Accounting period End 3
Primary contact name WILLIAM NOLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM NOLAN
PRESIDENT
15941 SOUTH HARLEM AVENUE
TINLEY PARK IL 60477-1609

Officer/Director/Trustee Two

GARY HICKERSON
TREASURER
15941 SOUTH HARLEM AVENUE
TINLEY PARK IL 60477-1609

Officer/Director/Trustee Three

CARMELITA WAGNER
SECRETARY
15941 SOUTH HARLEM AVENUE
TINLEY PARK IL 60477-1609

Officer/Director/Trustee Four

JESSIE ANDERSON
DIRECTOR
15941 SOUTH HARLEM AVENUE
TINLEY PARK IL 60477-1609

Officer/Director/Trustee Five

WILLIAM MCHENRY
DIRECTOR
15941 SOUTH HARLEM AVENUE
TINLEY PARK IL 60477-1609

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 Yes
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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