FORM 1023-EZ for 1 MEAL AT A TIME INC

Field Data
EIN 84-3464855
Case Number EO-2019298-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1 MEAL AT A TIME INC
Organization’s Mailing Address 9822 S NORMAL AVE
City CHICAGO
State IL
ZIP 60628
Accounting period End 10
Primary contact name DANICKA CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANICKA CAMPBELL
PRESIDENT
9822 S NORMAL
CHICAGO IL 60628

Officer/Director/Trustee Two

ASHLEY FENNER- DUMAS
SECRETARY
9332 S BISHOP ST
CHICAGO IL 60620

Officer/Director/Trustee Three

KIM CAMPBELL
DIRECTOR
9908 S NORMAL
CHICAGO IL 60628

Officer/Director/Trustee Four

DUANE CAMPBELL
DIRECTOR
9908 S NORMAL
CHICAGO IL 60628

Officer/Director/Trustee Five

BRITTANY KAYWOOD
DIRECTOR
3032 WALLACE AVE
STEGER IL 60475

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 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 DANICKA CAMPBELL
Signature Title PRESIDENT
Signature Date 10/23/19

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