FORM 1023-EZ for LONG LIVE JUANITA MARIE FOUNDATION

Field Data
EIN 85-3324598
Case Number EO-2021109-000683
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONG LIVE JUANITA MARIE FOUNDATION
Organization’s Mailing Address 332 S MICHIGAN AVE
City CHICAGO
State IL
ZIP 60604
Accounting period End 10
Primary contact name DEVON HARDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVON HARDGE
DIRECTOR
332 S MICHIGAN STE 1032
CHICAGO IL 60604

Officer/Director/Trustee Two

ARIANE TILLMAN
JR. DIRECTOR
4554 S DREXEL
CHICAGO IL 60653

Officer/Director/Trustee Three

MARIELLE TILLMAN
JR. DIRECTOR
4554 S DREXEL
CHICAGO IL 60653

Organization’s website WWW.DVONDRESYNCERE.INFO
Organization’s email IAM@DVONDRESYNCERE.INFO
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 DEVON HARDGE
Signature Title DIRECTOR
Signature Date 4/17/2021

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