FORM 1023-EZ for KELLS PARK COMMUNITY COUNCIL

Field Data
EIN 81-1712741
Case Number EO-2016235-000021
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLS PARK COMMUNITY COUNCIL
Organization’s Mailing Address 3601 W CHICAGO AVENUE
City CHICAGO
State IL
ZIP 60651
Accounting period End 6
Primary contact name TABITHA HUMPHRIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORNELIA HAILEY-GAMBLE
DIRECTOR, PRESIDENT
3601 W CHICAGO AVENUE
CHICAGO IL 60651

Officer/Director/Trustee Two

TACARRA BIRMINGHAM
DIRECTOR, VICE-PRESIDENT
924 NORTH ST LOUIS AVENUE
CHICAGO IL 60651

Officer/Director/Trustee Three

MAURICE ROBINSON
DIRECTOR, TREASURER
3420 W LEXINGTON AVENUE
CHICAGO IL 60624

Officer/Director/Trustee Four

CHRISTOPHER LOGAN
SECRETARY
545 N RIDGEWAY DRIVE
CHICAGO IL 60624

Organization’s website N/A
Organization’s email CHAILEY-GAMBLE@NHSCHICAGO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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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