FORM 1023-EZ for JEREMY SCULLARK FOUNDATION

Field Data
EIN 82-3315302
Case Number EO-2018255-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEREMY SCULLARK FOUNDATION
Organization’s Mailing Address 200 EAST CHESTNUT STREET UNIT 207
City CHICAGO
State IL
ZIP 60611-2346
Accounting period End 12
Primary contact name TRACEY SCULLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOY DEVAUGHN
DIRECTOR, PRESIDENT
6346 SOUTH GREENWOOD AVENUE
CHICAGO IL 60637-2708

Officer/Director/Trustee Two

JENESIS SCULLARK
DIRECTOR, SECRETARY
200 EAST CHESTNUT STREET UNIT 207
CHICAGO IL 60611-2346

Officer/Director/Trustee Three

JACKIE GUIDER
DIRECTOR, TREASURER
3450 SOUTH HALSTED AVENUE
CHICAGO IL 60608-6869

Officer/Director/Trustee Four

TRACEY SCULLARK
CEO
200 EAST CHESTNUT STREET UNIT 207
CHICAGO IL 60611-2346

Organization’s website WWW.JEREMYSCULLARKFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 TRACEY SCULLARK
Signature Title CEO
Signature Date 9/10/18

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