FORM 1023-EZ for ALLIANCE TO ELIMINATE HIV-HCV COINFECTION

Field Data
EIN 81-3637972
Case Number EO-2016256-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALLIANCE TO ELIMINATE HIV-HCV COINFECTION
Organization’s Mailing Address 990 N LAKESHORE DRIVE UNIT 18C
City CHICAGO
State IL
ZIP 60611
Accounting period End 12
Primary contact name MICHAEL GLASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GLASS
DIRECTOR
990 N LAKESHORE DRIVE UNIT 18C
CHICAGO IL 60611

Officer/Director/Trustee Two

BILLY ATWELL
DIRECTOR
990 N LAKESHORE DRIVE UNIT 18C
CHICAGO IL 60611

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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