FORM 1023-EZ for CARIBBEAN AMERICAN HERITAGE COUNCILOF ILLINOIS

Field Data
EIN 81-1404035
Case Number EO-2017030-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARIBBEAN AMERICAN HERITAGE COUNCILOF ILLINOIS
Organization’s Mailing Address 675 LAKE STREET SUITE 136
City OAK PARK
State IL
ZIP 60301-1473
Accounting period End 12
Primary contact name MARLIN KIRBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLIN KIRBY
DIRECTOR
675 LAKE STREET SUITE 136
OAK PARK IL 60301

Officer/Director/Trustee Two

LLOYD COAKER
DIRECTOR
327 N PARKSIDE AVE
CHICAGO IL 60644

Officer/Director/Trustee Three

DEBRA PHILLIP
DIRECTOR
912 GREENLEAF DRIVE
JOLIET IL 60436

Officer/Director/Trustee Four

PATRICK JOHN
DIRECTOR
1005 S MAYFIELD AVE APT 1
CHICAGO IL 60644

Officer/Director/Trustee Five

DEBBIE SCHELL
DIRECTOR
789 LEE STREET SUITE 102
DES PLAINES IL 60016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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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