FORM 1023-EZ for PANACEA HOUSE

Field Data
EIN 35-1851659
Case Number EO-2018071-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANACEA HOUSE
Organization’s Mailing Address 1015 SHILOH BLVD
City ZION
State IL
ZIP 60099-2631
Accounting period End 6
Primary contact name CANDI M MCDOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDI MCDOWELL
PRESIDENT
1015 SHILOH BLVD
ZION IL 60099-2631

Officer/Director/Trustee Two

TOMANI RAIMONDI
SECRETARY
1015 SHILOH BLVD
ZION IL 60099-2631

Officer/Director/Trustee Three

CODY DUFRESNE
DIRECTOR
921 18TH STREET
ZION IL 60099

Organization’s website
Organization’s email PANACEA.HOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/93
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 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 Yes
Correctness Declaration Yes
Signature Name CANDI MCDOWELL
Signature Title PRESIDENT
Signature Date 3/10/18

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