FORM 1023-EZ for LANE TECH BLACK ALUMNI ASSOCIATION NFP

Field Data
EIN 83-0876389
Case Number EO-2018169-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LANE TECH BLACK ALUMNI ASSOCIATION NFP
Organization’s Mailing Address 251 MARENGO AVENUE SUITE 6H
City FOREST PARK
State IL
ZIP 60130
Accounting period End 12
Primary contact name SHERLANDA BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERLANDA BROOKS
PRESIDENT, DIRECTOR
12054 S WENTWORTH
CHICAGO IL 60628

Officer/Director/Trustee Two

KEVIN NEWELL
DIRECTOR
530 N LAKE SHORE DRIVE UNIT 1501
CHICAGO IL 60611-7429

Officer/Director/Trustee Three

GAYLE RAMSEY
DIRECTOR
8315 S SEELEY
CHICAGO IL 60620-6033

Officer/Director/Trustee Four

TONYA MOORE
DIRECTOR
1000 DARDEN CENTER DRIVE
ORLANDO FL 32837-4032

Officer/Director/Trustee Five

JERALD KNOX
DIRECTOR
736 CAMBRIDGE AVENUE
MATTESON IL 60443-1650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 SHERLANDA BROOKS
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/13/18

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