FORM 1023-EZ for PNEUMA THE BREATH OF LIFE INC NFP

Field Data
EIN 83-1730326
Case Number EO-2018247-000527
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PNEUMA THE BREATH OF LIFE INC NFP
Organization’s Mailing Address 8500 SOUTH BENNETT AVE
City CHICAGO
State IL
ZIP 60617
Accounting period End 12
Primary contact name DOREEN STREETER-MOMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD GOODLOE JR
PRESIDENT
8500 SOUTH BENNETT AVE
CHICAGO IL 60617

Officer/Director/Trustee Two

ANITA GOODLOE
TREASURER
8500 SOUTH BENNETT AVE
CHICAGO IL 60617

Officer/Director/Trustee Three

MICHELLE LONGBEY
SECRETARY
14709 INGLESIDE AVE
DOLTON IL 60419

Officer/Director/Trustee Four

MARICE GUNN
VICE PRESIDENT
548 PRINCETON DR
BOLINGBROOK IL 60440

Officer/Director/Trustee Five

ODELL ARNOLD
DIRECTOR
17403 SYLVAN CT
FLOSSMOOR IL 60422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 EDWARD GOODLOE JR
Signature Title PRESIDENT
Signature Date 8/30/18

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