FORM 1023-EZ for MICKEIYA J KIDS FOUNDATION INC NFP

Field Data
EIN 73-1665142
Case Number EO-2017044-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICKEIYA J KIDS FOUNDATION INC NFP
Organization’s Mailing Address 1106 E 73RD ST
City CHICAGO
State IL
ZIP 60619
Accounting period End 3
Primary contact name FELICIA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEFANY AVILA
BOARD MEMBER
5540 S WASHTENAW
CHICAGO IL 60629

Officer/Director/Trustee Two

NANETTE STEVENS
BOARD MEMBER
19429 OAKWOOD
COUNTRY CLUB HILLS IL 60620

Officer/Director/Trustee Three

PHYLLIS THOMAS
BOARD MEMBER
3222 W CORTEZ
CHICAGO IL 60620

Officer/Director/Trustee Four

PASTOR CAROLE CLARK
BOARD MEMBER
2361 WOODHILL COURT
PLAINFIELD IL 60586

Officer/Director/Trustee Five

FELICIA THOMAS
PRESIDENT AND FOUNDER
1106 E 73RD ST
CHICAGO IL 60621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2003
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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