FORM 1023-EZ for THE HENRY E BENNETT ACHIEVEMENT FOUNDATION INC

Field Data
EIN 83-0898479
Case Number EO-2018176-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HENRY E BENNETT ACHIEVEMENT FOUNDATION INC
Organization’s Mailing Address P O BOX 64463
City GARY
State IN
ZIP 46401
Accounting period End 8
Primary contact name MARCUS PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAHI GARRETTE
POLEMARCH
8160 HICKORY AVE
GARY IN 46403

Officer/Director/Trustee Two

DERRICK TAYLOR
VICE POLEMARCH
7343 BUCHANAN
MERRILLVILLE IN 46410

Officer/Director/Trustee Three

JAMES HARRIS
EXCHECKER
5601 MADISON STREET
MERRILLVILLE IN 46410

Officer/Director/Trustee Four

ARRION BLAKE
KEEPER OF RECORDS
430 E 162ND ST NUMBER 486
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Five

MARCUS PATTERSON
MEMBER
123 CHUM ROAD
MATTESON IL 60443

Organization’s website HTTP://WWW.GARYALUMNINUPES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 MARCUS PATTERSON
Signature Title MEMBER
Signature Date 6/23/18

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