FORM 1023-EZ for FIRST WOMAN & CHILD

Field Data
EIN 83-2755643
Case Number EO-2019039-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST WOMAN & CHILD
Organization’s Mailing Address 101 E WILLOW ST APT 5
City NORMAL
State IL
ZIP 61761
Accounting period End 12
Primary contact name FANTA MAIGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FANTA MAIGA
DIRECTOR
101 E WILLOW ST APT 5
NORMAL IL 61761

Officer/Director/Trustee Two

ROUBATOU MOUMOUNI
FUNDRAISING COORDINATOR
10332 EBBETS RD
CHARLOTTE NC 28278

Officer/Director/Trustee Three

SAMUEL JOHNSON
SECRETARY
808 S LINDEN ST APT 7
NORMAL IL 61761

Officer/Director/Trustee Four

DIEU BOLANGA
VICE PRESIDENT
10425 E 31ST AVE
DENVER CO 80238

Officer/Director/Trustee Five

JAVON FLEMING
PUBLIC RELATIONS & COMMUNICATION
3008 BEATTIES FORD RD APT 10
CHARLOTTE NC 28216

Organization’s website WWW.FIRSTWANDCHILD.ORG
Organization’s email FANTAM@FIRSTWANDCHILD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P83 - Senior Centers
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 FANTA MAIGA
Signature Title DIRECTOR
Signature Date 2/6/19

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