FORM 1023-EZ for IMANI BEHAVIORAL HEALTHCARE

Field Data
EIN 83-4598799
Case Number EO-2020127-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMANI BEHAVIORAL HEALTHCARE
Organization’s Mailing Address 7534 SOUTH HOMAN AVENUE
City CHICAGO
State IL
ZIP 60652
Accounting period End 7
Primary contact name RICHARD WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA WILSON
PRESIDENT
7
CHICAGO LA 60652

Officer/Director/Trustee Two

OCTAVIA WILSON
VICE PRESIDENT
900 CB TEMPLE ROAD
KENTWOOD LA 70444

Officer/Director/Trustee Three

ANGELA BROWN
TREASURER/SECT
4301 ANDOVER
SAULK VILLAGE IL 60007

Organization’s website
Organization’s email LISAEFG@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA WILSON
Signature Title PRESIDENT
Signature Date 5/4/2020

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