FORM 1023-EZ for SCCP CARES

Field Data
EIN 85-1046267
Case Number EO-2020304-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCCP CARES
Organization’s Mailing Address 600 HOLIDAY PLAZA DRIVE SUITE 200
City MATTESON
State IL
ZIP 60443-2237
Accounting period End 12
Primary contact name ANDRE MCCLERKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA SAMSOM
BOARD CHAIR
1860 WATERFORD COURT
HIGHLAND PARK IL 60035

Officer/Director/Trustee Two

ANN ASSAM
BOARD VICE CHAIR
17020 KEDZIE AVENUE
HAZELCREST IL 60429

Officer/Director/Trustee Three

EDWIN UKPABY
SECRETARY AND TREASURER
793 BROOKWOOD DRIVE
OLYMPIA FIELDS IL 60461

Officer/Director/Trustee Four

ANDRE MCCLERKLIN
BOARD MEMBER
22801 NIAMH COURT
RICHTON PARK IL 60471

Organization’s website
Organization’s email AMORIELMCCLERKLIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 ANDRE MCCLERKLIN
Signature Title BOARD MEMBER
Signature Date 10/28/2020

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