FORM 1023-EZ for CHICAGO CHICKEN RESCUE

Field Data
EIN 82-5177807
Case Number EO-2018128-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHICAGO CHICKEN RESCUE
Organization’s Mailing Address 6128 S KENWOOD AVE
City CHICAGO
State IL
ZIP 60637
Accounting period End 12
Primary contact name VINCENT HERMOSILLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA ZELANO
PRESIDENT
6128 S KENWOOD
CHICAGO IL 60637

Officer/Director/Trustee Two

VINCENT HERMOSILLA
TREASURER
6128 S KENWOOD
CHICAGO IL 60637

Officer/Director/Trustee Three

GREGORY LANE
SECRETARY
5749 S HARPER
SECRETARY ID 60637

Officer/Director/Trustee Four

LAURA BARGHUSEN
DIRECTOR
1420E ROCHDALE PLACE
CHICAGO IL 60615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/16
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 VINCENT HERMOSILLA
Signature Title TREASURER
Signature Date 4/30/18

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