FORM 1023-EZ for ICUCONGO
| Field | Data |
|---|---|
| EIN | 83-1613713 |
| Case Number | EO-2019148-000289 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ICUCONGO |
| Organization’s Mailing Address | 2015 SUDBURY DR |
| City | HOFFMAN ESTATES |
| State | IL |
| ZIP | 60619 |
| Accounting period End | 12 |
| Primary contact name | DAVID BEA ATTORNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MASWAMBA MUSIKIWAMBA
PRESIDENT AND DIRECTOR
2015 SUDBURY DR
HOFFMAN ESTATES IL 60619
Officer/Director/Trustee Two
NORMAN KAMOSI
DIRECTOR
826 LONGFELLOW ST NW
WASHINGTON DC 20011
Officer/Director/Trustee Three
SANDRA HARVEY-COBB
SECRETARY AND DIRECTOR
1937 PALO VERDE DR
YOUNGSTOWN OH 45514
Officer/Director/Trustee Four
SHELLEY SANSAVER
TREASURER AND DIRECTOR
16 AMARYLLIS DR
KEY WEST FL 33040
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/15/18 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - 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 | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | Yes |
| 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 | MASWAMBA MUSIKIWAMBA |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 5/23/19 |
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