FORM 1023-EZ for DWELLING AT THE WELL
| Field | Data |
|---|---|
| EIN | 84-4524025 |
| Case Number | EO-2021063-000700 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DWELLING AT THE WELL |
| Organization’s Mailing Address | 921 S LAWNDALE AVENUE APT 102 |
| City | CHICAGO |
| State | IL |
| ZIP | 60624 |
| Accounting period End | 12 |
| Primary contact name | JACQUELINE MCCLENDON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACQUELINE MCCLENDON
FOUNDER AND CEO
921 S LAWNDAALE AVENUE APT 102
CHICAGO IL 60624
Officer/Director/Trustee Two
PIA SHANTEE
PRESIDENT
1527 N AVERS STREET
CHICAGO IL 60651
Officer/Director/Trustee Three
TRINA POOLE
VICE PRESIDENT
8609 S KOLIN AVENUE
CHICAGO IL 60652
Officer/Director/Trustee Four
LORENE FOGGS
TREASURER
4723 1/2 S ELLIS AVENUE APT 3
CHICAGO IL 60615
Officer/Director/Trustee Five
TRINA BUSH
SECRETARY
1957 E 72ND PLACE
CHICAGO IL 60649
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/28/2020 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | JACQUELINE MCCLENDON |
| Signature Title | FOUNDER AND CEO |
| Signature Date | 12/30/2020 |
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