FORM 1023-EZ for HEALTH HUMANITIES CONSORTIUM

Field Data
EIN 83-0567139
Case Number EO-2018214-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH HUMANITIES CONSORTIUM
Organization’s Mailing Address 5776 N RIDGE AVE APT 1
City CHICAGO
State IL
ZIP 60660
Accounting period End 12
Primary contact name MICHAEL BLACKIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESE JONES
CO-DIRECTOR
13080 E 19TH AVE
AURORA CO 80045

Officer/Director/Trustee Two

CRAIG KLUGMAN
CO-DIRECTOR
1110 W BELDEN AVE
CHICAGO IL 60614

Officer/Director/Trustee Three

MICHAEL BLACKIE
TREASURER
5776 N RIDGE AVE APT 1
CHICAGO IL 60660

Organization’s website HTTPS://HEALTHHUMANITIESCONSORTIUM.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BLACKIE
Signature Title TREASURER
Signature Date 7/31/18

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