FORM 1023-EZ for HEALTH POLICY INSTITUTE OF CHICAGO

Field Data
EIN 83-2190983
Case Number EO-2018313-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH POLICY INSTITUTE OF CHICAGO
Organization’s Mailing Address 4800 S CHICAGO BEACH DR/SUITE2705 S
City CHICAGO
State IL
ZIP 60615
Accounting period End 12
Primary contact name THOMAS BRITT MD MPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS BRITT MD MPH
BOARD CHAIRMAN & CEO
4800 S CHICAGO BEACHDRSTE2705-S
CHICAGO IL 60615

Officer/Director/Trustee Two

TERRY MASON MD
BOARD TREASURER
4850 S LAKE PARK AVENUE
CHICAGO IL 60615

Officer/Director/Trustee Three

DELESHIA KINNEY MD MPH
BOARD SECRETARY
7022 S SHORE DRIVE
CHICAGO IL 60649

Officer/Director/Trustee Four

SHAFFDEEN AMUWO PHD MPH
BOARD MEMBER
7233 S CRANDON AVENUE
CHICAGO IL 60649

Officer/Director/Trustee Five

PHILIP DAVIS PHD
BOARD MEMBER
3712 N BROADWAY STREET
CHICAGO IL 60613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
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 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 THOMAS BRITT MD MPH
Signature Title BOARD CHAIRMAN & CEO
Signature Date 11/7/18

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