FORM 1023-EZ for ELK GROVE TOWNSHIP COMMUNITY EMPOWERMENT FUND

Field Data
EIN 36-4872084
Case Number EO-2017216-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELK GROVE TOWNSHIP COMMUNITY EMPOWERMENT FUND
Organization’s Mailing Address 2400 S ARLINGTON HEIGHTS ROAD
City ARLINGTON HEIGHTS
State IL
ZIP 60005-7802
Accounting period End 3
Primary contact name PAUL PIOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SWEENEY
PRESIDENT
2400 S ARLINGTON HEIGHTS ROAD
ARLINGTON HEIGHTS IL 60005-7802

Officer/Director/Trustee Two

DR KATIE AHSELL
DIRECTOR
2123 S ARLINGTON HEIGHTS ROAD
ARLINGTON HEIGHTS IL 60005-7802

Officer/Director/Trustee Three

KAREN BAKER
DIRECTOR
3060 SALT CREEK LANE
ARLINGTON HEIGHTS IL 60005-1069

Officer/Director/Trustee Four

KEVIN KINSELLA
DIRECTOR
627 BELINDER LANE 155
SCHAUMBURG IL 60173-6350

Officer/Director/Trustee Five

SHIRLANNE LEMM
DIRECTOR
650 EAST DEVON AVENUE STE 155
ITASCA IL 60143-1282

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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