FORM 1023-EZ for EPSILON CHI SIGMA CHARITABLE FOUNDATION

Field Data
EIN 81-3181233
Case Number EO-2016349-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EPSILON CHI SIGMA CHARITABLE FOUNDATION
Organization’s Mailing Address P O BOX 87550
City CHICAGO
State IL
ZIP 60680
Accounting period End 12
Primary contact name ANDRE MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE SHAFFERS
PRESIDENT
2138 W 115TH ST
CHICAGO IL 60643

Officer/Director/Trustee Two

MALCOLM WHITESIDE
DIRECTOR
8141 S WINCHESTER
CHICAGO IL 60620

Officer/Director/Trustee Three

RANDY CONNER
VICE PRESIDENT
1514 W 119TH ST
CHICAGO IL 60643

Officer/Director/Trustee Four

BELVIE FOSTER
DIRECTOR
4153 W WASHINGTON BLVD
CHICAGO IL 60624-2430

Officer/Director/Trustee Five

ANDRE MARSHALL
DIRECTOR
1102 DUNLOP AVE
CHICAGO IL 60130-2218

Organization’s website N/A
Organization’s email SIGMAS@PHIBETASIGMACHICAGO.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B83 - Student Sororities, Fraternities
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 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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