FORM 1023-EZ for LTLA OUTREACH

Field Data
EIN 85-3559274
Case Number EO-2021093-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LTLA OUTREACH
Organization’s Mailing Address 15112 S EVERS
City DOLTON
State IL
ZIP 60409
Accounting period End 10
Primary contact name SAUNDRA YANCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDIE YANCY
MEDICAL DIRECTOR
15112 S EVERS
DOLTON IL 60419

Officer/Director/Trustee Two

DEBORAH YANCY
ADMINISTRATION
1500 E 167TH PLACE APT 2
CHICAGO IL 60637

Officer/Director/Trustee Three

SHENIKA HALL-JETT
CHILD DEVELOPMENT
2058 W 69TH STREET
CHICAGO IL 60636

Officer/Director/Trustee Four

SHANNON CARTER
SOCIAL SERVICES DIRECTOR
15400 UNIVERSITY AVE
DOLTON IL 60419

Officer/Director/Trustee Five

SANDY MAYS
BUSINESS CONSULTANT
8915 S LOOMIS APT 101
CHICAGO IL 60620

Organization’s website
Organization’s email LTLAOUTREACH@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2020
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: 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 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 SHANNON CARTER
Signature Title SOCIAL SERVICES DIRECTOR
Signature Date 2/28/2021

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