FORM 1023-EZ for SAGAWAT HOME

Field Data
EIN 84-2215166
Case Number EO-2019196-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAGAWAT HOME
Organization’s Mailing Address 5532 WEBSTER STREET
City DOWNERS GROVE
State IL
ZIP 60516
Accounting period End 12
Primary contact name ALYSSIA BENFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD HAYES
PRESIDENT
5532 WEBSTER STREET
DOWNERS GROVE IL 60516

Officer/Director/Trustee Two

BERTHA NOVA
VICE PRESIDENT
121 BROOK COURT
BOLINGBROOK IL 60440

Officer/Director/Trustee Three

PAUL HAKOLA
TREASURER AND SECRETARY
1074 BARTHOLDI
CAROL STREAM IL 60188

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD HAYES
Signature Title PRESIDENT
Signature Date 7/11/19

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