FORM 1023-EZ for SYNERGY YOUTH AND ADULT DEVELOPMENT

Field Data
EIN 83-3674699
Case Number EO-2019108-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYNERGY YOUTH AND ADULT DEVELOPMENT
Organization’s Mailing Address 509 E 75TH STREET 2ND FL
City CHICAGO
State IL
ZIP 60619
Accounting period End 12
Primary contact name ROBIN AIKENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN AIKENS
EXECUTIVE DIRECTOR
509 E 75TH STREET
CHICAGO IL 60619

Officer/Director/Trustee Two

ROSIE ROSS
DIRECTOR
509 E 75TH STREET
CHICAGO IL 60619

Officer/Director/Trustee Three

ROOSEVELT MCGEE
DIRECTOR
509 E 75TH STREET
CHICAGO IL 60619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBIN AIKENS
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/16/19

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