FORM 1023-EZ for BEULAH ISAIAH 62 4

Field Data
EIN 81-0719110
Case Number EO-2017052-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEULAH ISAIAH 62 4
Organization’s Mailing Address 939 W MADISON ST STE 103
City CHICAGO
State IL
ZIP 60607
Accounting period End 12
Primary contact name CORRINE MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORRINE MARTINEZ
PRESIDENT, DIRECTOR
1745 LINCOLN AVE 2FL
WHITING IN 46394

Officer/Director/Trustee Two

CRISTINA PENA
SECRETARY, DIRECTOR
939 W MADISON ST STE 103
CHICAGO IL 60607

Officer/Director/Trustee Three

JENNIF HOFFMAN
TREASURER, DIRECTOR
939 W MADISON ST STE 103
CHICAGO IL 60607

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2015
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: 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 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
Signature Title
Signature Date

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