FORM 1023-EZ for HATTIE CALLNER APARTMENTS TENANT ASSOCIATION

Field Data
EIN 83-3458143
Case Number EO-2019039-001009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HATTIE CALLNER APARTMENTS TENANT ASSOCIATION
Organization’s Mailing Address 855 W ALDINE AVE SUITE 909
City CHICAGO
State IL
ZIP 60657-2319
Accounting period End 12
Primary contact name SCOTT W HOLZRICHTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY SIMMONS
DIRECTOR
855 W ALDINE AVENUE APT 1603
CHICAGO IL 60657-2319

Officer/Director/Trustee Two

SCOTT HOLZRICHTER
DIRECTOR & REGISTERED AGENT
855 W ALDINE AVENUE APT 909
CHICAGO IL 60657-2319

Officer/Director/Trustee Three

ALANE MILLS
DIRECTOR
855 W ALDINE AVENUE APT 1008
CHICAGO IL 60657-2319

Officer/Director/Trustee Four

NANCY DIAMOND
DIRECTOR
855 W ALDINE AVENUE APT 806
CHICAGO IL 60657-2319

Officer/Director/Trustee Five

MUSTAFA ABDURRAHMAN
DIRECTOR
855 W ALDINE AVENUE APT 1307
CHICAGO IL 60657-2319

Organization’s website HCATA.ORG
Organization’s email BOD@HCATA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 SCOTT HOLZRICHTER
Signature Title DIRECTOR & REGISTERED AGENT
Signature Date 2/6/19

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