FORM 1023-EZ for BUSH BLOCK CLUB

Field Data
EIN 47-5518678
Case Number EO-2016267-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUSH BLOCK CLUB
Organization’s Mailing Address 8550 S MACKINAW
City CHICAGO
State IL
ZIP 60617
Accounting period End 11
Primary contact name APRIL THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONDRA THOMAS
TRUSURY
5550 SOUTH SHORE DR
CHICAGO IL 60617

Officer/Director/Trustee Two

SERINA THOMAS
SECRETARY
8550 S MACKINAW
CHICAGO IL 60617

Officer/Director/Trustee Three

APRIL THOMAS
PRESIDENT
8550 S MACKINAW
CHICAGO IL 60617

Officer/Director/Trustee Four

CHARLENE CLEMONS
MEMBER
5550 SOUTH SHORE DR
CHICAGO IL 60617

Officer/Director/Trustee Five

DENAIR THOMAS
MEMBER
8550 S MACKINAW
CHICAGO IL 60617

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
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
Signature Title
Signature Date

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