FORM 1023-EZ for ADVOCACY FOR QUALITY IN HEALTHCARE

Field Data
EIN 85-0705099
Case Number EO-2020107-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVOCACY FOR QUALITY IN HEALTHCARE
Organization’s Mailing Address 3703 EDGEWATER DR
City HAZEL CREST
State IL
ZIP 60429-2645
Accounting period End 12
Primary contact name EVA MCMILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVA MCMILLER
CEO
3703 EDGEWATER DRIVE
HAZEL CREST IL 60429-2465

Officer/Director/Trustee Two

SHIRLEY DAVIS
BOARD MEMBER
4042 LAKEVIEW
COUNTRY CLUB HILLS IL 60478

Officer/Director/Trustee Three

ROBERT MCMILLER
BOARD MEMBER
3703 EDGEWATER DRIVE
HAZEL CREST IL 60429-2465

Officer/Director/Trustee Four

CARRISA DAVIS
BOARD MEMBER
4042 LAKEVIEW
COUNTRY CLUB HILLS IL 60478

Officer/Director/Trustee Five

ASHLI MCMILLER
BOARD MEMBER
3703 EDGEWATER DRIVE
HAZEL CREST IL 60429-2465

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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 EVA MCMILLER
Signature Title CEO
Signature Date 4/14/2020

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