FORM 1023-EZ for BLUE SKIES & WHITE STARS FOUNDATION

Field Data
EIN 87-2336136
Case Number EO-2021239-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE SKIES & WHITE STARS FOUNDATION
Organization’s Mailing Address 417B S TAYLOR AVE APT 3C
City OAK PARK
State IL
ZIP 60302
Accounting period End 12
Primary contact name ALEXIS HART MCDOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BAKER III
DIRECTOR
417B S TAYLOR AVE APT 3C
OAK PARK IL 60302

Officer/Director/Trustee Two

TIFFANY JORDAN
DIRECTOR
417B S TAYLOR AVE APT 3C
OAK PARK IL 60302

Officer/Director/Trustee Three

ALFONZO RANDY
DIRECTOR
417B S TAYLOR AVE APT 3C
OAK PARK IL 60302

Officer/Director/Trustee Four

DONALD MEADOWS
DIRECTOR
417B S TAYLOR AVE APT 3C
OAK PARK IL 60302

Officer/Director/Trustee Five

BELVIE FOSTER
DIRECTOR
417B S TAYLOR AVE APT 3C
OAK PARK IL 60302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 JOHN BAKER III
Signature Title DIRECTOR
Signature Date 8/25/2021

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