FORM 1023-EZ for C E HOME AGENCY INC

Field Data
EIN 82-2892387
Case Number EO-2020270-000007
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name C E HOME AGENCY INC
Organization’s Mailing Address 9449 S KEDZIE AVE 329
City EVERGREEN PARK
State IL
ZIP 60805
Accounting period End 12
Primary contact name BONITA M WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONITA M WASHINGTON
OWNER/DIRECTOR/PRESIDENT
9449 S KEDZIE AVE STE 329
EVERGREEN PARK IL 60805

Officer/Director/Trustee Two

SAMIOA BUTLER-MARTIN
VICE PRESIDENT
4289 POLK STREET
MATTESON IL 60443

Officer/Director/Trustee Three

ANTONETTE FEFEE
SECRETARY
6543 MONROE AVE
HAMMOND IN 46324

Officer/Director/Trustee Four

JENNIFER TERRY
TREASURE
991 E LAKE ST 108
ADDISON IL 60101

Organization’s website
Organization’s email BWASHINGTON@EHOMEAGENCY-INC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2017
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 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 BONITA M WASHINGTON
Signature Title OWNER/DIRECTOR/PRESIDENT
Signature Date 9/23/2020
EIN 82-2892387
Case Number EO-2017320-000483
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name C E HOME AGENCY INC
Organization’s Mailing Address PO BOX 699
City LANSING
State IL
ZIP 60438-2117
Accounting period End 12
Primary contact name BONITA M WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONITA M WASHINGTON
PRESIDENT
PO BOX 699
LANSING IL 60438

Officer/Director/Trustee Two

SAMOIA MARTIN
VICE PRESIDENT
4288 POLK ST
MATTESON IL 60443

Officer/Director/Trustee Three

ANTONETTE FEFEE
SECRETARY
6543 MONROE
HAMMOND IN 46324

Officer/Director/Trustee Four

JENNIFER TERRY
TREASURE
6738 S CRANDON
CHICAGO IL 60649

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2017
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: 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 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
Signature Title
Signature Date

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