FORM 1023-EZ for COMMUNITY LIFE AND ART OF SOUTH SHORE

Field Data
EIN 86-1915045
Case Number EO-2021098-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY LIFE AND ART OF SOUTH SHORE
Organization’s Mailing Address 6827 S DORCHESTER AVE
City CHICAGO
State IL
ZIP 60637
Accounting period End 12
Primary contact name JACK DEROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK DEROSE
PRESIDENT
6827 S DORCHESTER AVE
CHICAGO IL 60637

Officer/Director/Trustee Two

ALEXANDRIA DIGGS
VICE PRESIDENT
6827 S DORCHESTER AVE
CHICAGO IL 60637

Officer/Director/Trustee Three

BRANDON WALTERS
DIRECTOR OF COMMUNITY OUTREACH
10653 S YATES AVE
CHICAGO IL 60617

Officer/Director/Trustee Four

CHERRELL ANDERSON
DIRECTOR OF ONLINE OPERATIONS
5441 W THOMAS ST
CHICAGO IL 60651

Officer/Director/Trustee Five

JOHN ROBBINS
DIRECTOR OF ARTIST DEVELOPMENT
4800 S CHICAGO BEACH DR APT 1401N
CHICAGO IL 60615

Organization’s website
Organization’s email CLASSCENTERCHICAGO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 JACK DEROSE
Signature Title PRESIDENT
Signature Date 3/15/2021

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