FORM 1023-EZ for THE DOROTHY J PILGRAM WOMENS HAVEN

Field Data
EIN 87-2020908
Case Number EO-2021239-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DOROTHY J PILGRAM WOMENS HAVEN
Organization’s Mailing Address 3826 JANIS DRIVE
City RICHTON PARK
State IL
ZIP 60471
Accounting period End 12
Primary contact name CASSANDRA COLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA COLE
PRESIDENT & CEO
3826 JANIS DRIVE
RICHTON PARK IL 60471

Officer/Director/Trustee Two

JOYCE LUCKIE
DIR OF FEDERAL PROGRAMS
4127 S 55TH DR
PHOENIX AZ 85043

Officer/Director/Trustee Three

CATHY BLACK
TREAS & DIR OF FINANCE
4000 W 106TH STREET
OAK LAWN IL 60453

Officer/Director/Trustee Four

KESHA WATSON
TRUSTEE & DIR URBAN DEV
2701 S INDIANA APT 1411
CHICAGO IL 60613

Officer/Director/Trustee Five

ANGELETTE PRICHETT
SECRETARY
605 BELAIR DR
JEFFERSON CITY MO 65109

Organization’s website
Organization’s email COLEC0411@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
Organization’s purpose Charitable: No
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 Yes
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 CASSANDRA COLE
Signature Title PRESIDENT & CEO
Signature Date 8/25/2021

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