FORM 1023-EZ for A MOTHERS CARE

Field Data
EIN 83-2973222
Case Number EO-2019036-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A MOTHERS CARE
Organization’s Mailing Address 321 E MAPLE DR
City GLENWOOD
State IL
ZIP 60425
Accounting period End 1
Primary contact name RAQKEHA WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAQKEHA WALKER
BOARD CHAIR
321 E MAPLE DR
GLENWOD IL 60425

Officer/Director/Trustee Two

JAMES PATTON
VICE CHAIR
3024 140TH
BLUE ISLAND IL 60406

Officer/Director/Trustee Three

JOHN ROSS
TREASURER
2426 RALSTON ST
GARY IN 46406

Officer/Director/Trustee Four

ROBERTA COLEMAN
SECRETARY
861 RIDGE ROAD APT 21
HOMEWOOD IL 60430

Officer/Director/Trustee Five

NOT APPLICABLE NOT APPLICABLE
NA
NA
NA IL 60425

Organization’s website
Organization’s email AMOTHERS.CARE4@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 RAQKEHA WALKER
Signature Title BOARD CHAIR
Signature Date 1/17/19

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