FORM 1023-EZ for MOMMAS VILLAGE

Field Data
EIN 27-4625816
Case Number EO-2015054-000456
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMMAS VILLAGE
Organization’s Mailing Address 2224 EVES CIRCLE WEST
City DEKALB
State IL
ZIP 60115-5813
Accounting period End 12
Primary contact name TIFARAH JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFARAH JACKSON
DIRECTOR
2224 EVES CIRCLE WEST
DEKALB IL 60115-5813

Officer/Director/Trustee Two

SHARRON BUGG
DIRECTOR
1109 PINEGROVE CT
AURORA IL 60504-8956

Officer/Director/Trustee Three

JACQUELINE CARSON
SECRETARY
316 WESLEY AVE
EVANSTON IL 60202-3234

Officer/Director/Trustee Four

KEISHAWNDA BROWN
TREASURER
5940 S CASS AVE APT 205
WESTMONT IL 60559-2539

Organization’s website
Organization’s email MOMMASVILLAGE2012@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2012
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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