FORM 1023-EZ for ANNIES PLACE OF REFUGE

Field Data
EIN 81-3078460
Case Number EO-2016208-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANNIES PLACE OF REFUGE
Organization’s Mailing Address 12804 S WALLACE
City CHICAGO
State IL
ZIP 60620
Accounting period End 12
Primary contact name LATESHA LANGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATESHA LANGSTON
DIRECTOR
12804 S WALLACE
CHICAGO IL 60620

Officer/Director/Trustee Two

LATANIA HURNES
DIRECTOR
2837 W 83RD ST
CHICAGO IL 60652

Officer/Director/Trustee Three

GERTHA LUSBY
DIRECTOR
3245 W WARREN BLVD
CHICAGO IL 60624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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 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
Signature Title
Signature Date

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