FORM 1023-EZ for INFLUENCES AND ACTIONS

Field Data
EIN 46-3250893
Case Number EO-2015043-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INFLUENCES AND ACTIONS
Organization’s Mailing Address PO BOX 7612
City GURNEE
State IL
ZIP 60031
Accounting period End 12
Primary contact name MARIA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIA KING
PRESIDENT, SECRETARY, DIRECTOR
PO BOX 7612
GURNEE IL 60031

Officer/Director/Trustee Two

DARRELL KING
TREASURER, DIRECTOR
PO BOX 7612
GURNEE IL 60031

Officer/Director/Trustee Three

REGINALD MATHEWS
DIRECTOR
18 N COUNTY ST
WAUKEGAN IL 60085

Officer/Director/Trustee Four

LARRY YOUNG
DIRECTOR
PO BOX 7612
GURNEE IL 60031

Organization’s website WWW.MYACTIONSMYLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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