FORM 1023-EZ for KEDESH WELLNESS GROUP

Field Data
EIN 85-2196814
Case Number EO-2020254-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEDESH WELLNESS GROUP
Organization’s Mailing Address 9712 S KEELER AVE
City OAK LAWN
State IL
ZIP 60453
Accounting period End 12
Primary contact name LYNN LUCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN LUCKETT
PRESIDENT
9712 S KEELER AVE
OAK LAWN IL 60453

Officer/Director/Trustee Two

DANIEL LUCKETT
VICE PRESIDENT
9712 S KEELER AVE
OAK LAWN IL 60453

Officer/Director/Trustee Three

DANYELLE LUCKETT
BOARD MEMBER
9712 S KEELER AVE
OAK LAWN IL 60453

Officer/Director/Trustee Four

LATABITHA BRYANT
TREASURER
10736 S LAMON AVE
OAK LAWN IL 60453

Officer/Director/Trustee Five

FAYE HARRIS
SECRETARY
5651 CRESTWOOD COURT
MATTESON IL 60443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNN LUCKETT
Signature Title PRESIDENT
Signature Date 9/8/2020

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