FORM 1023-EZ for ROCKFORD YOUTH EMPOWERMENT

Field Data
EIN 83-3704982
Case Number EO-2019249-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKFORD YOUTH EMPOWERMENT
Organization’s Mailing Address 6605 LINDBLOOM LANE
City CHERRY VALLEY
State IL
ZIP 61016
Accounting period End 12
Primary contact name MOHSIN KHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABDUL RASHID KHAN
PRESIDENT
1238 STONY CREEK WAY
ROCKFORD IL 61108

Officer/Director/Trustee Two

MOHSIN KHAN
GENERAL SECRETARY
6605 LINDBLOOM LANE
CHERRY VALLEY IL 61016

Officer/Director/Trustee Three

DAWOOD HARUNANI
VICE PRESIDENT
5229 FOREST TRAIL DR
ROCKFORD IL 61109

Officer/Director/Trustee Four

SYED SAMEE-UL HAQ
TREASURER
4324 PEPPER DRIVE
ROCKFORD IL 61114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 MOHSIN KHAN
Signature Title GENERAL SECRETARY
Signature Date 9/4/19

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