FORM 1023-EZ for SICKLE CELL FAMILY SUPPORT NETWORKINC

Field Data
EIN 47-1662492
Case Number EO-2015114-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SICKLE CELL FAMILY SUPPORT NETWORKINC
Organization’s Mailing Address 16 IONE DRIVE UNIT E
City SOUTH ELGIN
State IL
ZIP 60177
Accounting period End 6
Primary contact name LOUISETTA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BURT BLANCHARD
BOARD PRESIDENT
917 S GROVE
OAK PARK IL 60431

Officer/Director/Trustee Two

CHERWANDA MCCALLUM
BOARD VICE PRESIDENT
346 KIRKWOOD CIRCLE
BOLINGBROOK IL 60440

Officer/Director/Trustee Three

JOYCE MISTER
SECRETARY
4157 W MONROE
CHICAGO IL 60624

Officer/Director/Trustee Four

ROSEMARY GOINS
TREASURER
416 47TH AVE
BELLWOOD IL 60104

Officer/Director/Trustee Five

LOUISETTA WILLIAMS
EXECUTIVE DIRECTOR
16 IONE DRIVE UNIT E
SOUTH ELGIN IL 60177

Organization’s website SCFSN.ORG
Organization’s email SCFSNINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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
Signature Title
Signature Date

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