FORM 1023-EZ for HARTHWELL FOUNDATION NFP

Field Data
EIN 86-3574920
Case Number EO-2021123-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARTHWELL FOUNDATION NFP
Organization’s Mailing Address 8828 S MOZART AVE
City EVERGREEN PARK
State IL
ZIP 60805
Accounting period End 12
Primary contact name GODFREY EKHOMU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLUBUKOLA SHODIYA
PRESIDENT
8828 S MOZART AVE
EVERGREEN PARK IL 60805

Officer/Director/Trustee Two

CHRISTOPHER HARTH
DIRECTOR
8828 S MOZART AVE
EVERGREEN PARK IL 60805

Officer/Director/Trustee Three

PRAISE SHODIYA
DIRECTOR
8828 S MOZART AVE
EVERGREEN PARK IL 60805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 OLUBUKOLA SHODIYA
Signature Title PRESIDENT
Signature Date 4/29/2021

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