FORM 1023-EZ for FEED A CHILD SAVE A LIFE

Field Data
EIN 81-3702013
Case Number EO-2017052-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FEED A CHILD SAVE A LIFE
Organization’s Mailing Address 1416 W GLEN AVENUE APT 102
City PEORIA
State IL
ZIP 61614
Accounting period End 8
Primary contact name BRANDES CAYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDES CAYSON
PRESIDENT
1416 W GLEN AVENUE APT 102
PEORIA IL 61614

Officer/Director/Trustee Two

JANESSA GEORGE
SECRETARY
1206 E LONDON AVENUE
PEORIA IL 61603

Officer/Director/Trustee Three

JESSICA UNES
TREASURER
1209 TIMBERLANE
PEKIN IL 61554

Officer/Director/Trustee Four

JUAN RIOS
CHAIRMAN
7 THOMAS COURT
MACKINAW IL 61755

Officer/Director/Trustee Five

TISHA BURNSIDE
CHAIRMAN
703 SPRINGHILL
PEORIA IL 61605

Organization’s website N/A
Organization’s email FEEDACHILDPEORIA@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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