FORM 1023-EZ for INDEPENDENT LIVING AFTER THE STORM

Field Data
EIN 80-0961127
Case Number EO-2017333-000473
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDEPENDENT LIVING AFTER THE STORM
Organization’s Mailing Address 15503 PARKLANE
City SOUTH HOLLAND
State IL
ZIP 60473
Accounting period End 12
Primary contact name CHERITA HOUSTONN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERITA HOUSTON
PRESIDENT
15503 PARKLANE
SOUTH HOLLAND IL 60411

Officer/Director/Trustee Two

JULIA BUSSELL
TREASURER
350 S ELM ST
GILBERT AZ 85296

Officer/Director/Trustee Three

NAYA BROWN
SECRETARY
19910 JUNIPER
LYNWOOD IL 60411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
One Third Support Gifts No
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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