FORM 1023-EZ for BACK PACKS AND BOOTS

Field Data
EIN 46-4984368
Case Number EO-2017258-000003
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK PACKS AND BOOTS
Organization’s Mailing Address 9739 S CHARLES APARTMENT 3A
City CHICAGO
State IL
ZIP 60643-1249
Accounting period End 12
Primary contact name DWAYNE KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY ROGERS
PRESIDENT AND DIRECTOR
9739 S CHARLES
CHICAGO IL 60643-1249

Officer/Director/Trustee Two

CAROLYN EDWARDS
SECRETARY AND DIRECTOR
7724 S GREEN
CHICAGO IL 60620

Officer/Director/Trustee Three

BISHOP JERRY HERRON
TREASURER AND DIRECTOR
1803 W 95TH STREET SUITE 170
CHICAGO IL 60643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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