FORM 1023-EZ for REBECCAS HOUSE FOUNDATION

Field Data
EIN 42-1762660
Case Number EO-2015085-000614
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBECCAS HOUSE FOUNDATION
Organization’s Mailing Address 738 BAYLES DRIVE
City ROMEOVILLE
State IL
ZIP 60446
Accounting period End 4
Primary contact name CHERYL JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY NASSAR
PRESIDENT
864 LILY CACHE LANE
BOLINGBROOK IL 60440

Officer/Director/Trustee Two

ERICA JORDAN
SECRETARY
738 BAYLES DRIVE
ROMEOVILLE IL 60446

Officer/Director/Trustee Three

LENORA HUNT
TREASURER
205 ANDOVER COURT
BOLINGBROOK IL 60440

Officer/Director/Trustee Four

CHERYL JORDAN
DIRECTOR
738 BAYLES DRIVE
ROMEOVILLE IL 60446

Officer/Director/Trustee Five

ERIC SHERMAN
DIRECTOR
505 CANDLE MEADOW BLVD
DESOTO TX 75115

Organization’s website WWW.REBECCASHOUSEFOUNDATION.COM
Organization’s email REBECCASHOUSE08@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2008
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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