FORM 1023-EZ for COMMUNITY SUPPORT ALLIANCE

Field Data
EIN 36-4722487
Case Number EO-2018136-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY SUPPORT ALLIANCE
Organization’s Mailing Address 1541 S ARDMORE AVENUE
City VILLA PARK
State IL
ZIP 60181
Accounting period End 12
Primary contact name JAMILA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMILA THOMAS
EXECUTIVE DIRECTOR
1541 S ARDMORE AVENUE
VILLA PARK IL 60181

Officer/Director/Trustee Two

SHAWN TUCKER
DIRECTOR
2016 S 6TH AVENUE
MAYWOOD IL 60153

Officer/Director/Trustee Three

LARRY GAMBLE
DIRECTOR
1020 DES PLAINES AVENUE
FOREST PARK IL 60130

Officer/Director/Trustee Four

EMERALD SCHAFFER
DIRECTOR
2333 S 12TH AVENUE
MAYWOOD IL 60155

Officer/Director/Trustee Five

MICHAEL BALLARD
DIRECTOR
6708 TUDOR LANE
WESTMONT IL 60559

Organization’s website N/A
Organization’s email JAMILARTHOMAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/07
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMILA THOMAS
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/11/18

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