FORM 1023-EZ for THE COURTNEY COPELAND MEMORIAL FOUNDATION

Field Data
EIN 81-4851013
Case Number EO-2018150-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COURTNEY COPELAND MEMORIAL FOUNDATION
Organization’s Mailing Address 1815 S AUSTIN BLVD
City CICERO
State IL
ZIP 60804
Accounting period End 12
Primary contact name SHAPEARL WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT WELLS
PRESIDENT
1815 S AUSTIN BLVD
CICERO IL 60804

Officer/Director/Trustee Two

SHAPEARL WELLS
VICE PRESIDENT
1612 S 60TH CT
CICERO IL 60804

Officer/Director/Trustee Three

KIMBERLY FAULKNER
TRUSTEE
1612 S AUSTIN BLVD
CICERO IL 60804

Officer/Director/Trustee Four

VERONICA BANKS
TRUSTEE
11346 S FOREST
CHICAGO IL 60628

Officer/Director/Trustee Five

ETHEL FAULKNER
TRUSTEE
116 W ELM APT 501
CHICAGO IL 60610

Organization’s website THECOURTNEYCOPELANDMEMORIALFOUNDATION.COM
Organization’s email CCMEMORIALFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRENT WELLS
Signature Title PRESIDENT
Signature Date 5/24/18

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