FORM 1023-EZ for CONCERNED CITIZENS

Field Data
EIN 36-3859796
Case Number EO-2019112-000805
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS
Organization’s Mailing Address 321 N MASON
City CHICAGO
State IL
ZIP 60644
Accounting period End 12
Primary contact name MARIA BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA BAILEY
EXECUTIVE DIRECTOR
5944 S CALUMET AVE
CHICAGO IL 60637

Officer/Director/Trustee Two

DOROTHY JONES
TREASURER
133 S WALLER
CHICAGO IL 60644

Officer/Director/Trustee Three

MALIA ROBINSON
DIRECTOR
5944 S CALUMET AVE
CHICAGO IL 60637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/92
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Correctness Declaration Yes
Signature Name MARIA BAILEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/20/19

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