FORM 1023-EZ for QUEEN CAMP INC

Field Data
EIN 83-4462214
Case Number EO-2019112-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEEN CAMP INC
Organization’s Mailing Address 16721 ELDERBERRY LANE
City ORLAND PARK
State IL
ZIP 60467
Accounting period End 12
Primary contact name TRACI JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEASHA MCCLURE
DIRECTOR
16721 ELDERBERRY LANE
ORLAND PARK IL 60467

Officer/Director/Trustee Two

NICOLE BRONSON
BOARD MEMBER
16721 ELDERBERRY LANE
ORLAND PARK IL 60467

Officer/Director/Trustee Three

MERRY TAPLIN
BOARD MEMBER
17851 GLADVILLE AVENUE
HOMEWOOD IL 60430

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 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 KEASHA MCCLURE
Signature Title DIRECTOR
Signature Date 4/18/19

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