FORM 1023-EZ for 4TH WARD STRONG COMMUNITY SERVICE ORGANIZATION

Field Data
EIN 81-3472205
Case Number EO-2016221-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 4TH WARD STRONG COMMUNITY SERVICE ORGANIZATION
Organization’s Mailing Address 150 N MICHIGAN AVE STE 2130
City CHICAGO
State IL
ZIP 60601-7569
Accounting period End 12
Primary contact name MICHAEL C DORF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM LOWRY
DIRECTOR
4459 S LAKE PARK AVE
CHICAGO IL 60653

Officer/Director/Trustee Two

DEBORAH TELMAN
DIRECTOR
4845 S ELLIS AVE
CHICAGO IL 60615

Officer/Director/Trustee Three

SOPHIA KING
DIRECTOR
4957 S WOODLAWN AVE
CHICAGO IL 60615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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
Signature Title
Signature Date

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