FORM 1023-EZ for SELF-HELP

Field Data
EIN 83-4251013
Case Number EO-2019094-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF-HELP
Organization’s Mailing Address 2830 SOUTH 18TH AVE
City BROADVIEW
State IL
ZIP 60155
Accounting period End 12
Primary contact name HUSSAIN JILANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUSSAIN JILANI
DIRECTOR
411 FOX TRAIL LN
OAK BROOK IL 60523

Officer/Director/Trustee Two

MISSA AYYASH
DIRECTOR
2830 SOUTH 18TH AVE
BROADVIEW IL 60155

Officer/Director/Trustee Three

KHALIDA NAQVI
DIRECTOR
205 WOOD GLEN LN
OAK BROOK IL 60523

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J32 - Goodwill Industries
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HUSSAIN JILANI
Signature Title DIRECTOR
Signature Date 4/2/19

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