FORM 1023-EZ for OMH MEDIA COMMUNITY ACTION NETWORK

Field Data
EIN 86-2976149
Case Number EO-2021100-001316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMH MEDIA COMMUNITY ACTION NETWORK
Organization’s Mailing Address 18300 S HALSTED STE B-148
City GLENWOOD
State IL
ZIP 60425
Accounting period End 3
Primary contact name OLIVER HATCHETT JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLIVER HATCHETT JR
MANAGING DIRECTOR
18300 S HALSTED ST STE B-148
GLENWOOD IL 60425

Officer/Director/Trustee Two

QUINTON GEIGER
DIRECTOR
2825 CAMBRIDGE LN
OLYMPIA FIELDS IL 60461

Officer/Director/Trustee Three

JAMES HATCHETT
DIRECTOR
706 INDIANA ST
PARK FOREST IL 60466

Officer/Director/Trustee Four

MARTELL HALL
DIRECTOR
4747 S VINCENNES
CHICAGO IL 60615

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 OLIVER HATCHETT JR
Signature Title MANAGING DIRECTOR
Signature Date 3/31/2021

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