FORM 1023-EZ for CONCERNED CITIZENS UNITED FOR SELFIMPROVEMENT

Field Data
EIN 36-2880607
Case Number EO-2021085-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS UNITED FOR SELFIMPROVEMENT
Organization’s Mailing Address 1705 KILBURN AVE
City ROCKFORD
State IL
ZIP 61101
Accounting period End 12
Primary contact name LINDA JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONARD JAMES
PRESIDENT
4654 BEDFORDSHIRE DR
LOVES PK IL 61111

Officer/Director/Trustee Two

ELLA CHARLES
SECRETARY
2903 GLADSTONE
ROCKFORD IL 61101

Officer/Director/Trustee Three

SIDELLA HUGHES
DIRECTOR
1715 WEDEL AVE
ROCKFORD IL 61103

Officer/Director/Trustee Four

LINDA JAMES
TREASURER
4654 BEDFORDSHIRE DR
LOVES PARK IL 61111

Officer/Director/Trustee Five

KENNETH CRAWFORD
DIRECTOR
815 SOPER AVE
ROCKFORD IL 61101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/1988
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Correctness Declaration Yes
Signature Name LEONARD JAMES
Signature Title PRESIDENT
Signature Date 2/2/2021

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