FORM 1023-EZ for HER 2ND CHAPTER

Field Data
EIN 85-3626943
Case Number EO-2020303-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HER 2ND CHAPTER
Organization’s Mailing Address 121 ADLOFF LANE
City SPRINGFIELD
State IL
ZIP 62703-4403
Accounting period End 12
Primary contact name CHARMAINE WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARMAINE WHITE
PRESIDENT/CEO
121 ADLOFF LANE
SPRINGFIELD IL 62703-4403

Officer/Director/Trustee Two

KEWANEE WOMACK
CHAIRMAN
121 ADLOFF LN
SPRINGFIELD IL 62703-4403

Officer/Director/Trustee Three

DEBRA RICHARDS
TREASURER
2005 CORY DRIVE
SPRINGFIELD IL 62702-1095

Officer/Director/Trustee Four

ANNE CONWILL
SECRETARY
801 E LINCOLN ST
RIVERTON IL 62561-8044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 CHARMAINE WHITE
Signature Title PRESIDENT/CEO
Signature Date 10/26/2020

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