FORM 1023-EZ for HARICE LEAVITT MEMORIAL ANGEL FUND

Field Data
EIN 83-1120950
Case Number EO-2018190-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARICE LEAVITT MEMORIAL ANGEL FUND
Organization’s Mailing Address 6834 N LOWELL AVE
City LINCOLNWOOD
State IL
ZIP 60712
Accounting period End 12
Primary contact name LEAH BRENNAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEAH BRENNAN
PRESIDENT
6843 N LOWELL AVE
LINCOLNWOOD IL 60712

Officer/Director/Trustee Two

CAREN EX
VICE PRESIDENT
3810 JARLATH AVE
LINCOLNWOOD IL 60712

Officer/Director/Trustee Three

PAULA FULLER-TOBIN
SECRETARY
6525 N LONGMEADOW
LINCOLNWOOD IL 60712

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEAH BRENNAN
Signature Title PRESIDENT
Signature Date 7/5/18

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