FORM 1023-EZ for COMMUNITY BUSINESS SENIOR INSTITUTE

Field Data
EIN 80-0911161
Case Number EO-2020076-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY BUSINESS SENIOR INSTITUTE
Organization’s Mailing Address 401 EAST 32ND STREET APT 2009
City CHICAGO
State IL
ZIP 60616
Accounting period End 12
Primary contact name CHRISTINE BOWDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE BOWDEN
PRESIDENT
401 EAST 32ND STREET APT 2009
CHICAGO IL 60616

Officer/Director/Trustee Two

GWEN JOHNSON
SECRETARY
142 WILL PLACE
CHICAGO IL 60616

Officer/Director/Trustee Three

THEO A LAVIZZO JR
TREASURER
17009 S CREGIER
SOUTH HOLLAND IL 60473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 CHRISTINE BOWDEN
Signature Title PRESIDENT
Signature Date 3/12/2020

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