| Field | Data |
|---|---|
| EIN | 36-4465419 |
| Case Number | EO-2020050-000188 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ANTIOCH COMMUNITY SOCIAL SERVICE AGENCY |
| Organization’s Mailing Address | 415 W ENGLEWOOD AVE |
| City | CHICAGO |
| State | IL |
| ZIP | 60621 |
| Accounting period End | 12 |
| Primary contact name | EDDIE JOHNSON III |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
EDDIE JOHNSON III
EXECUTIVE DIRECTOR
6412 S ABERDEEN
CHICAGO IL 60621
TYRONE TURMAN
TREASURER
9724 S CALUMET
CHICAGO IL 60619
TIMOTHY WHITE SR
PRESIDENT
6426 S YALE
CHICAGO IL 60621
LINDA PIERCE
SECRETARY
4911 S WABASH
CHICAGO IL 60615
PHYLLIS TURNER
DIRECTOR
8148 S LANGLEY
CHICAGO IL 60619
| Organization’s website | N/A |
|---|---|
| Organization’s email | ANTIOCHCSSA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/22/2001 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | EDDIE JOHNSON III |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/17/2020 |
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