FORM 1023-EZ for CCL SHUL MEMBERS NFP

Field Data
EIN 84-4220698
Case Number EO-2020013-000427
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CCL SHUL MEMBERS NFP
Organization’s Mailing Address 4950 MADISON ST UNIT 1442
City SKOKIE
State IL
ZIP 60077-2570
Accounting period End 12
Primary contact name MITCHELL ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HIAM NAIDITCH
PRESIDENT
4755 BOBOLINK TER
SKOKIE IL 60076

Officer/Director/Trustee Two

JOSHUA NANKIN
TREASURER
2949 KOEPKE RD
NORTHBROOK IL 60062

Officer/Director/Trustee Three

AVRAHAM HERSHKOVICH
SECRETARY
6338 N SACRAMENTO AVE
CHICAGO IL 60659

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X30 - Jewish
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 HIAM NAIDITCH
Signature Title PRESIDENT
Signature Date 1/10/2020

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