FORM 1023-EZ for THE BLOCK MOVEMENT

Field Data
EIN 86-3772826
Case Number EO-2021146-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLOCK MOVEMENT
Organization’s Mailing Address POBOX 102
City FLOSSMOOR
State IL
ZIP 60422
Accounting period End 12
Primary contact name KIMBERLY SALLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY SALLEY
DIRECTOR
2702 2ND PRIVATE ROAD
FLOSSMOOR IL 60422

Officer/Director/Trustee Two

KENDALL SALLEY
DIRECTOR
1130 SOUTH MICHIGAN AVENUE
CHICAGO IL 60605

Organization’s website WWW.THEBLOCKMOVEMENT.ORG
Organization’s email INFO@THEBLOCKMOVEMENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIMBERLY SALLEY
Signature Title DIRECTOR
Signature Date 5/24/2021

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