| Field | Data |
|---|---|
| EIN | 32-0570361 |
| Case Number | EO-2018176-000255 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COOK COUNTY PHYSICIANS ASSOCIATIONINC |
| Organization’s Mailing Address | 1415 N DEARBORN STREET 26-B |
| City | CHICAGO |
| State | IL |
| ZIP | 60610 |
| Accounting period End | 12 |
| Primary contact name | MYRTIS SULLIVAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MYRTIS SULLIVAN
PRESIDENT
1415 N DEARBORN ST 26-B
CHICAGO IL 60610
EBONY JOHNSON
SECRETARY
9449 S KEDZIE NUMBER 179
EVERGREEN PARK IL 60805
FELICIA DAVIS FOURTE
TREASURER
929 E 49TH STREET
CHICAGO IL 60615
STEPHEN WATSON
DIRECTOR
20820 S BROOKWOOD DRIVE
OLYMPIA FIELDS IL 60461
ADRIENNE RAY
DIRECTOR
6912 SOUTH SHORE DRIVE NUM 2
CHICAGO IL 60649
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/17/10 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | 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 | MYRTIS SULLIVAN |
| Signature Title | PRESIDENT |
| Signature Date | 6/21/18 |
| EIN | 32-0570361 |
| Case Number | EO-2018176-000255 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COOK COUNTY PHYSICIANS ASSOCIATION INC |
| Organization’s Mailing Address | 1415 N DEARBORN STREET 26-B |
| City | CHICAGO |
| State | IL |
| ZIP | 60610 |
| Accounting period End | 12 |
| Primary contact name | MYRTIS SULLIVAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MYRTIS SULLIVAN
PRESIDENT
1415 N DEARBORN ST 26-B
CHICAGO IL 60610
EBONY JOHNSON
SECRETARY
9449 S KEDZIE NUMBER 179
EVERGREEN PARK IL 60805
FELICIA DAVIS FOURTE
TREASURER
929 E 49TH STREET
CHICAGO IL 60615
STEPHEN WATSON
DIRECTOR
20820 S BROOKWOOD DRIVE
OLYMPIA FIELDS IL 60461
ADRIENNE RAY
DIRECTOR
6912 SOUTH SHORE DRIVE NUM 2
CHICAGO IL 60649
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/17/10 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | 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 | MYRTIS SULLIVAN |
| Signature Title | PRESIDENT |
| Signature Date | 6/21/18 |
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