FORM 1023-EZ for A JOURNEY HOME

Field Data
EIN 81-5080702
Case Number EO-2017135-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A JOURNEY HOME
Organization’s Mailing Address PO BOX 363
City SOUTH ELGIN
State IL
ZIP 60177
Accounting period End 12
Primary contact name KATHRYN SCHWEISTHAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRI KOLLER
PRESIDENT
318 BARNABY DR
OSWEGO IL 60543

Officer/Director/Trustee Two

DOREEN WILLAMS
VICE PRESIDENT
829 FOXWOOD CIRCLE
GENEVA IL 60134

Officer/Director/Trustee Three

KATHY SCHWEISTHAL
TREASURER
60 WEDGEWOOD DRIVE
SOUTH ELGIN IL 60177

Officer/Director/Trustee Four

CHARLENE NELMARK
SECRETARY
1425 HARVELL DR
BATAVIA IL 60510

Officer/Director/Trustee Five

SARAH IOVINO
SECRETARY
406 S MADISON ST
OSWEGO IL 60543

Organization’s website
Organization’s email AJOURNEYHOMEDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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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