Record #: Or2015-196   
Type: Order Status: Passed
Intro date: 4/15/2015 Current Controlling Legislative Body: Committee on Finance
Final action: 4/15/2015
Title: Tag day permit(s) for Alzheimer's Assn. - Greater Illinois Chapter; American Legion Chicago Fireman's Post 667; American Legion - Peoples Gas Post 336; Polish Legion of American Veterans; RTW Veteran Center; and Project H.O.O.D.
Sponsors: Burke, Edward M.
Attachments: 1. Or2015-196.pdf
Ordered, that the Committee on Finance is hereby authorized and directed to issue charitable solicitation (tag day) permits to the following organizations:
 
B.
C.
D.
E.
 
 
 
Alzheimer's Association - Greater Illinois Chapter
June 5-6, 2015
Citywide
 
American Legion Chicago Fireman's Post 667
May 20-22, 2015 ...
Citywide
 
" American Legion -Peoples Gas Post #336 - May 21-22, 2015 Citywide
 
Polish Legion of American Veterans
May 14-17, 2015
Citywide
 
RTW Veteran Center
April 23, 2015 through June 23, 2015
Citywide
 
Project H.O.O.D May 15-16, 2015 Citywide
 
shall take effect and be in foretfr om and after its passage.
 
Edward M. Burke Alderman, 14th Ward
 
 
PERMIT NO. 2015 - 04
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
 
PERMIT NUMBER:
2015-04
GROUP NAME:
Alzheimer's Association - Greater Illinois Chapter
 
 
ADDRESS:     8430 W. Bryn Mawr, Suite 800       Chicago, IL 60631
TELEPHONE NUMBER: 847-933-2413
CONTACT PERSON:
Erna Col born
DATE WRITTEN REQUEST WAS RECEIVED:      March 23, 2015
SOLICITATION DATE:
June 5-6, 2015
 
 
 
 
 
 
 
 
CITY COUNCIL DATE:
April 13,2015
COMPLETION OF FILE DATE:
 
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
 
DATE PERMIT LETTER WAS SENT TO ORGANIZATION:            April 13, 2015
 
VIOLATION (S)
 
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
 
 
 
COMMENTS:
 
 
 
A PP I. A CA fl ON FO K CITY OF CM ICAGO CHARITABLE SOLICITATION PERMIT
 
 
(Please neatly print or type. In necessary in answering any question, please nllacli
additional sheets.)
 
 
J.        Name of organization: Alzheimer's Association - Greater Illinois Chapter
Address: 3430 W. Bryn Mawr Avenue, Ste 800, Chicago, Illinois 60631 Telephone Number: 847-933-2413
  1. Use the space below to list names, current positions, residence addresses and telephone numbers ofthc officers in the organization:
Erna Colborn - President & CEO Janet Devlin - Vice President, Finance
Bethany Hein - Manager, External Relationships (TAG DAY CONTACT) 847-779-6952 (office)
8430 W. Bryn Mawr Avenue, Ste 800, Chicago, Illinois 60631
  1. List the date and approximate location(s) of solicitation:
Dates: June 5 & 6, 2015      Locations: City-wide
  1. Approximately how many persons will be engaged in the solicitation? Between 150 - 200 people
  2. Explain the methods your organization will use to solicit funds:
Alzheimer's Association volunteers will collect donations in busy areas using Association collection cans. Volunteers will give flower seeds to those who donate as a "thank you".
  1. Mas your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when?
Yes - The Alzheimer's Association has been soliciting funds since 1987.
  1. Include the following with your application:
    1. A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois.
    2. A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
  2. Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
This solicitation event is part of the Association nation-wide annual Bankers Life Tag Day event.
 
HOLD HARMLESS AGREEMENT
 
 
 
 
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
 
 
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
 
 
 
The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
 
Name of organization
 
 
 
V>    fL>      , 0 7-0
 
Signature of organization officer
 
 
 
 
 
he.
Date
 
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
 
 
 
 
 
 
IAVE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZA TION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE.   (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
 
Date .^/^-//r
Title
 
 
 
V A
 
 
 
Titled
 
 
Signaturejv
 
 
Title
Date
 
 
Signature
 
OFFICE. OF THE ATrORNHY GENERAL
March 4. 201 5      STATIC OK ILLINOIS
 
Lisa Madigan
,-VI ](>R\n liLM'.k-M.
ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION. GREATER ILLINOIS CHAPTER 8430 W. BRYN MAWR SUITE 800
CHICAGO, IL 60631
RE:   RE: Status of ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, GREATER ILLINOIS CHAPTER under the Illinois Charitable Laws CO# 01011470
Dear Registrant:
This letter is pursuant to your request that the Attorney General confirm the status of ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION. GREATER ILLINOIS CHAPTER under the Charitable Organization Laws.
 
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 0101 1470.   It is current in the filing of its financial reports, having filed its report for the period ended June 30. 2014.  Please let us know if you require further information.
 
Sincerely.
A
 
 
Takiyah Martin Barnes, Compliance Officer
Charitable Trusts Bureau
100 West Randolph Street. 11th Floor
Chicago. Illinois 60601
Telephone: (312)814-2595
 
 
i?v^Sk Illinois Department of Revenue
'iiJy-'^jJw   Office of Local Government Services Ityi^fj''   Sales Tax Exemption Section, 3-520 W--" y/'   101 w- Jefferson Street Springfield, Illinois 62702 217 782-8881
July   8, 2011
 
 
 
 
ALZHEIMERS DISEASE & RELATED DISORDERS ASSN
CHICAGO AREA CHAPTER
8430 W BRYN MAWR AVE STE 800
CHICAGO IL 60631
 
 
 
We have received your recent letter; and based on the information you furnished, we believe
ALZHEIMERS DISEASE Sr RELATED DISORDERS ASSN
of
CHICAGO, IL
is organized and operated exclusively for charitable purposes.
Consequently, sales of any kind to this organization are exempt from the Retailers' Occupation Tax, the Service Occupation Tax (both state and local), the Use Tax, and the Service Use Tax in Illinois.
We have issued your organization the following tax exemption identification number: E9983-6394-06.   To claim the exemption, you must provide this number to your suppliers when purchasing tangible personal property for organizational use.   This exemption may not be used by individual members of the organization to make purchases for their individual use.
This exemption will expire on      August 1, 2016, unless you apply to the Illinois Department of Revenue for renewal at least three months prior to the expiration date.
Office of Local Government Services Illinois Department of Revenue
 
 
 
 
 
 
 
 
 
 
 
 
STS-49 (R-2/98) 1L-492-3456 11-0000102
 
 
PERMIT NO. 2015-05
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
 
PERMIT NUMBER:
2015-05
GROUP NAME:
American Legion - Chicago Firemen's Post #667
 
 
ADDRESS:     3647 N. Tripp , Chicago, IL 60641
TELEPHONE NUMBER: 773-283-4305
CONTACT PERSON:
James Mindak
DATE WRITTEN REQUEST WAS RECEIVED:      March 23, 2015
SOLICITATION DATE:
May 20-22, 2015
 
 
 
 
 
 
 
 
CITY COUNCIL DATE:
April 15,2015
COMPLETION OF FILE DATE:
 
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
 
DATE PERMIT LETTER WAS SENT TO ORGANIZATION:           April 15, 2015
 
VIOLATION (S)
 
COMMITTEE LETTER SENT:
 
COMPLY RECEIVED:
 
 
COMMENTS: j
 
 
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
 
 
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
 
Name of organization:
 
CHICAGO FIREMAN'S POST 66?
 
Address-   36^7 N-  TRIPP AV3' Address.   CHICAGOt  IL> 606^1-3038
Telephone Number: 773-283-^305
  1. Use the space below to list names, current positions, residence addresses and telephone, numbers of the officers in the organization:
3MOR: DAVID FREDERICK1  27U3 GIBSON ST.    LAKE STATION,  IN. W05    21O-730-5ix09 S.V.C. KEVIN BARRY    ^05 N. WABASH   APT. 2802    CHICAGO,  IL. 60611 3l2-217-2Qlil J.V.C. MIKE MITTSLSTEADT    7538 W. LAWRENCE    HA R WOOD HGTS. ,  I EL.    22^-188- 2^55 71NANCS OFF./ADJUTANT   JAMES MINDAK    36^7 N. TRIPP AVE.    CHICAGO,  IL/606^1
773-283-^305
  1. List the date and approximate location(s) of solicitation:
CITY .71 DE AND CHICAGO LOOP     MAY 20,  21, 22 2015
 
4.      Approximately how many persons will be engaged in the solicitation?
AS MANY AS THE POST CAN GET IN OUR MEMBERSHIP TO COME OUT
 
5      Explain the methods your organization will use to solicit funds:
MEMBERS WILL STAND ON STREET CORNERS AND SELL POPPY'S WE WILL NOT BE IN THE STREET SELLING POPPY'S
 
6.      Has your organization ever been allowed to solicit funds in prior years in the
City of Chicago? If so, when?
YES,  THE DATES OF MAY 21, 22,  23 201h-
 
 
7,      Include the following with your application:
  1. A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois.
  2. A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
 
8.      Please include any other relevant information which would assist the Committee
on Finance in reviewing this application.
 
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
 
 
 
 
 
 
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE.   (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
 
 
 
Signato^^j^      Title ADJUTANT/? IN . OFiDate  16 ME.
 
 
 
Date
Title
 
Signature
 
Title
Date
 
 
 
Signature
 
HOLD HARMLESS AGREEMENT
 
 
 
 
The undersigned officer on behalf ofthe subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
 
 
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence ofthe subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
 
 
 
The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
 
ICAN LEGION
 
 
 
 
 
CHICAGO FIREMAN' S POST 66? Aft'iBRI Name of organization
 
 
 
JAMES MIN DAK c-^^Vr^O?
 
Signature of organization bfffcer
 
 
 
 
 
16 MAR. 2015
Date
 
PERMIT NO. 2015-06
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
 
PERMIT NUMBER:
2015-06
GROUP NAME:
American Legion - Peoples Gas Post #336
 
 
ADDRESS:     130 E. Randol
± Dr., Chicago, IL 60601
TELEPHONE NUMBER:
708-699-4705
CONTACT PERSON:
Kevin Donahue
DATE WRITTEN REQUEST WAS RECEIVED:      March 23, 2015
SOLICITATION DATE:
May 21-22, 2015
 
 
 
 
 
 
 
 
CITY COUNCIL DATE:
April 15,2015
COMPLETION OF FILE DATE:
 
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
 
DATE PERMIT LETTER WAS SENT TO ORGANIZATION:           April 15, 2015
 
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
 
 
COMMENTS:
 
 
 
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
 
 
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
  1. Name of organization: P+tf/es        S Ms 7**356,      ^ <J ^
Address:      S. A*****CA '        ■■ v 7/ <c C 6. O /
Telephone Number:   ~pO <p-      c/ . £y <c~
  1. Use the space below to list names, current positions, residence addresses and
telephone numbers ofthe officers in the organization:      ^ ^ ,
 
 
 
y S 9 *v. 3 <? v<* i+ CA      z, f .TL 6 o 6 <^9 ^
  1. List the date and approximate location(s) of solicitation:      0C ^      J^/^ £ q "~^o^2.
  2. Approximately how many persons will be engaged in the solicitation?
 
 
 
Explain the methods your organization will use to solicit funds:     ■    /•      /       I c
/?     ;    /; 2 •/ i> c *V-/t /?a/5 o /*        *; y ^ ^    q « er{ c
Has your organization ever been allowed^ solicit funds in prior'years in the City of Chicago? If so, when?
ye*   fc' ?> ^~ ^/'/
Include the following with your application:
  1. A copy of the registration statement filed with the Attorney General ofthc State of Illinois; or exemption issued by the Attorney General ofthe State ol'Hlinois.
  2. A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
 
8,
 
Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
 
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
 
 
 
 
 
 
I AYE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE.   (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
 
 
Date
ltle L C /j/i
 
 
 
 
Signatu
 
 
Signature
 
Title S&ff'j Pate
 
 
* - J»
 
Title
Date
 
 
Signature
 
HOLD HARMLESS AGREEMENT
 
 
 
 
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
 
2.
 
 
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
 
 
 
The officer ofthe subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
 
 
 
 
 
 
Name of organization v
 
Signature of organization officer
 
Date
 
 
 
3 -/C ■ - /.S
 
 
"Serving for God and Country"
PEOPLES GAS POST No. 336
130 EAST RANDOLPH DRIVE
.      CHICAGO, ILLINOIS 60601
THE- AMERICAN LEGIOIS
DFPARTMENT OF ILLINOIS
 
Commander KEVIN P. DONAHUE
(312)240-7128 Res. (773) 551-8518
Senior Vite-Commander THOMAS D. O'BRIEN Res/(773) 924-5309
. Junior-Vice Commander JOSEPH T. LOCASCIO Res. (847) 577-2556
Finance Officer RALPH SCHULTE Res. (773) 631-4383
Assistant Finance Officer RAYMOND A. SMITH Res. (773) 478-0518
•\djntant Emeritus RICHARD A. SOVER
Adjutant JOSEPH T. LO CASCIO
 
 
 
 
 
 
 
 
 
 
May 6, 2014
 
 
 
 
Dear Member,
 
Our Post will be conducting our annual Poppy Days on Thursday, May 22, 2014 and Friday, May 23, 2014.
 
Enclosed are two poppies and an envelope in which to place your contribution. Poppy Day revenue is strictly used for welfare activities
Res. (847) 577 2556   conducted by our Post.
 
Assistant Adjutant THOMAS D. O'BRIEN Res. (773) 924-5309
Chaplain Walter Szyszka Res- (773) 775-2262
Service Officer ROBERT POREMSKI Res. (630) 834-9081
Welfare Officer ROBERT POREMSKI Res. (630) 834-9081
Judge Advocate JOSEPH T. LO CASCIO Res. (847) 577-2556
Sergeant At Arms ANDREW S. PRZYBYSZ Res. (708) 524-8292
Post members will be soliciting in and around our new building, the AON Building from noon to 6:00p.m. onThursday, May 22. 2014 and from 7:30a.m until noon on Friday, May 23, 2014.
 
Please use the enclosed envelope to support this worthy cause and be as generous as your wallet will allow.
 
Sincerely,
 
 
AndyPrzybysz, Chairman Poppy Day Committee
 
AP/ml
 
 
 
 
 
 
 
 
 
 
"For God and Country, We associate ourselves together"
 
Ginoli & Company Ltd, CPA5 ss 7625 N. University, Suite A Peoria, Illinois 61614-8303 Phone (309)  671-2350      Pax (309) 571-5459
 
October 9, 2014
 
 
The American Legion of Illinois P.O. Box 2910
Slocmington,  IL 61702-2910
 
The American Legion of Illinois:
Enclosed is the organization's 2013 Exempt Organization return.^ The state Exempt Organisation Annual Report is also enclosed.    These should be signed, dated, and mailed, as indicated.
Specific filing instructions are as follows. FORM 9 30 RETURN:
Thip return has been prepared for electronic filing.    If you wish to have it transmitted electronically to the IRS, please sign., date, and return Form 8879-EO to our office.    We will then submit the electronic return to the IRS.    Do not mail a paper copy of the return to the IRS,
ILLINOIS FORM AG9S0-IL RETURN:
Fioase sign and mail Form AG990-IL on or before February 2, 2015.
Mail to - Office of the Attorney General Charitable Trust Bureau 100 West Randolph St.,  ilth Floor Chicago,  IL 60601-3175
Enclose a check for $15 made payable to Illinois Charity Bureau Fund.    Include the organization:s state registration number on the remittance.
Form IPC must be signed by an officer or director of che
 
1013
Open fo Ptiiilir;
I    Return of Organization Exempt From Income Tax
.•cr; ^ xj> \J/      | Under section 601(c), 527. or 1047(a)(1) ofthe Internal Revenue Code (except private foundations)
^.^-^t o-i*te 7r*f!U!i     j      ^" Do      en^h ^c|al Soourlry nurnbere on thto form 33 it may be rnade public.
C Name of organization THE AMERICAN LEGION OF ILLINOIS
; vi,™. F^.vgnuj Si.tv:cr      I      fr- information about Form 990 and its instructions is at www.irs.aa\.:-'tprm990.      
3
A For the £013 calendar year, or tax year beginning    AUG   1,   2 013       and ending   JUL  31,   2 0 14
D Employer identification number
Doing Business As
 
fioanVsuiie
E Telepnonn number
663-0361
Number aid street (or P.O. ddx If man is not delivered to stfAit addrass' P.O. BOX 2910
Cky or town, state or province, country, and ZIP or torsion postal coda BLOOMINGTON,  IL    61702-2910 '
F Name and address of principal offtew:TERR¥ L WOODBURN
same as C acove
H(a! is this a group seturn
lor subordinates''      C      'Yes FX ' No
!. Tax-exempt status:
J Website: ► WWW. ILLEGION . ORG
      ^      ! H(bj at? ai siji-OTinaie; mciurwd"'.      I Yes i      i No
501(cii3)  L&3 501 (Of   19 )*4 (insert no.) □ 4947(a)(1) or Lj 5271      If" No. attach a list. ir»*rutfionc.;
X ram of organization. [XJ Corporation  [^Z] Trust j      j Association Qtfier
...Fart I.I .Summary
_ _ I H(c) Qiroup e.nomption numbei fr- 0 92 L vnar of foimnlloi): 1919,; M Statf; of (sea: domicile IL
 
Briefly describe the- organization's mission or most significant activities: VETERAN AFFAIRS AND      
REHABILITATION,  THE CARE AND PROTECTION OF THEIR CHILDREN AND"TO
•-   Ch-ack this ocx L~—\ if th-5 organization discontinued its operations or disposed of more than 25% of its net aasets.
 
5   -Nu.n&sr rrfv-.-i'ng mambers at >he governing body (Part VI, line la)      13 j
\   fwm»e» of inde^ejident voting members of th© governing body (Part VI, Una lb) :   Tetsl nymbar cf indlvirjuate employee! in calendar year 2013 (Part V. line 2a)
*   ~o; hi numbai cf voajmeers (estimate if nacassary)      
' s 'rc.;;.-,j unrelated business revenue from Part Vill, column (C). line 12
b      jnp.T.'aiss i.-L'Siniisa tfisr.ble income from Form 980-T, line 34            
  1. Contribution and grants (Part VIII, line 1h)       
  2. Program service revenue (Pan Vl JI. line 2g)
  3. investment income (Part Vllf, column (A), lines 3, 4, and 7d)
  4. Oilier revenue rart VIII, column (A), Unas 5, 6d, Sic, 0c, 10c, and 11a)
  5. Tolal raveniiu • add lines S through 11 (must aqual Pan VIII, column (A), line 12)
  6. Gran!:; and similar amounts paid (Part IX. column (A), lines 1-3)       
1<t      Benefits paid to or tor members (Part IX, column (A), line 4)
15      Salaries. oifK'i sompensation. employee benefits (Part IX, column (A), lines 5-10)
0 .
16a      PrssSasuwu.* fimdraismg fees (Part IX, column (A), line 1 le) ...
u      Totsi fund aisirsg ,:.:penses (Pan IX. column (D). line 25)       
  1. C'.r<Br exoerisnu Part IX. column (A), lines lta-1lrj, 1 l<-24e)
  2. Totsi expense:*. Ado mcs 13-17 (must equal Part IX, column (A), line 2S) .
15      Rovent'6 tess ?xpens?s. Subtract iine 18 ftom line 12       
 
3;—', 20  Total assets (P;:r. X, iifie 16)
i-'-CC I
>■':) \
*ti 21      Total llaoilities (Part X. line 26)
s=       
^■X '. 22      Net asaets or fund bafancas Subtree-.; line 21 from line 20
Part It ! Signature Btock
Sion
Ur»rf*r peiiJsiies of se.'iL'ry declare Uwi t have examinnd this return, including accornpsnyinp schedules and statements, aiif!\t> tlie bc&l rl my knowledge and oeliet '! x tr.-.r oerreet. 2nd ajnuilete Oecla.•■iiigti of preparer (otfiarinan officer) ie based on a;i information fif which preDsrt' has any k(»oy<«>ir|s
; oriiMi
: °rint,'tyui prepares^ nai«e Robert Piier,
TERRY L WOODBURN, ADJUTANT/FINANCE OFFICER Tw>e or yttnt nimf snd litle
"rfepars/'s sigr.itur;
CPA
 
'Jsj. Oriiv
! Film's ■■
& Company Ltd,CPA's N University Ste A a,   IL 61614-8303
i<■':>• tha.!P,& di£cuas./^is.r^turn^vi:^_ihF pr6paror s-cwi- abova? '"sea instructions)      ^£g|F ^j>j$ ffi**   . jS,
77rr.n1 irj-i?.v;     L.riA Far Papsrwor'K Reduction Acl Notice, sne the separate instructions.
c-,,^ cnho'inifl n for Orqanization Mission Statement Cor.
 
.iln-gyg013'      THE AMERICAN LEGION OF ILLINOIS       '      37-01539 60
Pw-i     Statement of Program Service Accomplishments
      Check if Schedule Q contains a rasponas sr note tc any line in this Part ii:             ..            .
1     Bnefiy des-eribe the orosfiHation's iwssion:      NoDS ~
 
JYes L&JNo lYas SjNo
 
 
 
 
■Jio the organization undertake any significant program services during the year which were n« listed on tfta prior Form 990 or 9905Z? if "Yae," describe: these new services on Schedule 0.
Die the organization caste conducting, or make .significant changes in how it conducts, sny proaram services it v>js,: describe tho*3 changes on Schedule O.
Oescnba the organization s program service accompiianments for each of its three largest program sen/ices, ss measured by expenses. ■Section 501 (c)(3) and 501(c)(4) organizations *re required to report the amount of grants and allocations to others., the total expanses, and iavenug, <f any, tor each, program zer^ci
 
J  (F.uv*nua S _
incltjcllrifi grants of $ _
VETERAN AFFAIRS AND REHABILITATION,   THE CARE AND PROTECTION OF_JIHEIR
CHILDREN AND TO PRESERVE THE MEMORIES AND INCIDENTS OF PART I Cl" PAT I ON ~IN
THE GREAT WARS -      *      ' ~"
 
PERMIT NO. 2015-07
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
 
PERMIT NUMBER:
2015-07
GROUP NAME:
RTW Veteran Center
 
 
ADDRESS:     5536 S. King Drive, Chicago, IL 60637
TELEPHONE NUMBER:
312-972-2582
CONTACT PERSON:
Arnetha Gholston
DATE WRITTEN REQUEST WAS RECEIVED:      March 23, 2015
SOLICITATION DATE:
April 23, 2015 through June 23, 2015
 
 
 
 
 
 
 
 
CITY COUNCIL DATE:
April 15, 2015
COMPLETION OF FILE DATE:
 
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
 
DATE PERMIT LETTER WAS SENT TO ORGANIZATION:            April 15, 2015
 
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
 
 
COMMENTS:
 
 
 
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
 
 
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
  1. Name of organization:   IfiTcO V^KT^ C^v4^
Address:     SS"*E>  >- fc^u    gV-C^O^ 7
Telephone Number: *7? §>      ~ /O^*?
  1. Use the space below to list names, current positions, residence addresses and
telephone numbers of the officers in the organizations  i      ,      ^)      y jT\L ?7
 
 
 
 
 
t^ecn uAUo-i -5<i/^.      "J      ^- / y.
3.      ' List the date and approximate Iocation(s) of solicitation:,    ^    ^ ^
-wde - Hld^ -r-z (a fa/*0'*
  1. Approximately how many persons will be engaged in the solicitation?
lh feople
  1. Explain the methods your organization will use to solicit funds:
?c*s5 Q^Y T'% lu{ep^h^< ~ ^ pterin aJ^&O^r f'k ^.
  1. Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when?     y^C,   ~   c^j / j ~4 [ yiO C cf.-'f"'G
  2. Include the following with your application:
    1. A copy of the registration statement filed with the Attorney General ofthe State of Illinois; or exemption issued by the Attorney General of the State of Illinois.
    2. A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
  2. Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
 
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
 
 
 
 
 
 
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE.   (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
 
 
 
 
Title fre$,£&^      Date 3 liy/20iS
Signature
 
 
Sigi
 
 
Title
 
Signature  ',■ ^ y<-       
Title
 
 
TPtSaUpr^r-      J)j A^3^
 
HOLD HARMLESS AGREEMENT
 
 
 
 
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers ofthe subject organization on City premises for the purpose of charitable solicitations.
 
 
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
 
 
 
The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
 
 
 
 
 
 
Name of organization
 
 
 
 
 
 
Signature of organization officer
 
Date
 
March 16,2015
OFFICE OF THE ATTORNEY GENERAL STATE OF ILLINOIS
 
Lisa Madigan
RTW VETERANS CENTER 5536 SOUTH KING DR, APT 1
CHICAGO, IL 60637      attorneyc-knkra
 
RE:   RE: Status of RTW VETERANS CENTER under the Illinois Charitable Laws CO# 01067461
Dear Registrant:
This letter is pursuant to your request that the Attorney General confirm the status of RTW VETERANS CENTER under the Charitable Organization Laws.
 
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01067461.  It is current in the filing of its financial reports, having tiled its report for the period ended December 31, 2013.  Please let us know if you require further information.
 
Sincerely,
 
 
Takiyah Martin Barnes, Compliance Officer
Charitable Trusts Bureau
100 West Randolph Street, 11th Floor
Chicago, Illinois 60601
Telephone:  (312) 814-2595
 
PERMIT NO. 2015-08
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
 
PERMIT NUMBER:
2015-08
GROUP NAME:
Polish Legion of American Veterans
 
 
ADDRESS:     4934 N. Mason, Chicago, IL 60630
TELEPHONE NUMBER:
773-725-1088
CONTACT PERSON:
Mr. Eugene Beranek
DATE WRITTEN REQUEST WAS RECEIVED:      April 1, 2015
SOLICITATION DATE:
May 14-17,2015
 
 
 
 
 
 
 
 
CITY COUNCIL DATE:
April 15, 2015
COMPLETION OF FILE DATE:
 
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
 
DATE PERMIT LETTER WAS SENT TO ORGANIZATION:            April 15, 2015
 
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
 
 
COMMENTS:
 
 
 
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
 
 
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
  1. Name of organization!:
POLISH iiEGION of AlxEERICAN VETERANS U,SoA0
Address:      49 34 North Mason Avenue
rip i  ir     M   . Chicago P 111ino is 6 06 30-1313 Teleplione NuDsnber:
1-773-725-1088
  1. Use the space be!ow to list names, current positions, residence addresses and telephone nusinbers ofthe officers in the organization:
David Zohnson Commander   Eugene Se Beranek Past Commander
530 Fredrick Lane      4934 North Ifeson Avenue
Hoffman EstatesChicago? Illinois 60630-1913
50195      1-773-725-1 OSS
1-347-382-9752
  1. List the date and approximate Iocation(s) of solicitation:
This will "be for four days, different locations City V.'ide
j^ay 14P2015"May 15,20l5-j^ag:l6?20l5   and Sunday May .17.»2015
  1. Approximately how many persons will be engaged in the solicitation?
There will be about 60 people ai   varius locations City w'idee
  1. Explain the methods your organization will use to solicit funds:
i'ie will be offering a POPPY for any donations, to assist the :iospio&J-iaeci 1/e"osra.iis0
  1. Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when?
js have been soliciting funds in the City of Chicago for over fifty years, some years on private property-,
  1. Include the following with your application:
    1. A copy of the registration statement filed with the Attorney General ofthe State of Illinois; or exemption issued by the A^ttorney General of the State of Illinois.
    2. A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which >vM8 be used by your organization in its solicitation.
  2. Please include any other relevant information which would assist the Committee on Finance m reviewing this application.
 
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
STANLEY BARAB3Z POST 72 POLISH LEGION of AMERICAN VETERANS U„30A0
 
 
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE.   (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
 
 
Title <at Vice Comdr   DatffMarch. 30 r2015
 
Signature
 
Robert Ostrowski
 
Euge
LLrector
 
Signature /^J^^SJ^^kditnde     Title Past Commander    Date March 30,2015
ne E0 Beranek
 
Title
Date
 
Signature
 
 
 
 
 
 
Coamnaander
Dave Johnson
530 Fredrick Lane
Hoffman Estates, Illinois 60195
1-847-882-9752
2nd Coimimainider Larry Jakubowski 395 Fleming Lane Schaumberg, Illinois 60103-2823 1-847=895=1422
Service Officer & Scribe
Paul R. Moreno
6111 North Navarre Avenue
Chicago, Illinois 60631-2613
1-773-775-1965
 
Treasurer
Pamela Stevens
4942 West School St. FL-1'
.Chicago, Illinois 60641. -
 
Sergeant at Arms
Roger Oznoff
13140 Red Aider Avenue
Huntley, Illinois 60148
1-630-613=9535.
 
Chaplain
Is Vice Commander
Robert Ostrowski
1142 South Aheras Avenue
Lombard, Illinois 60148-4053
1=630-495-1369
Commander- Enseritns Frank Jurek
336 West Herding Street Lombard, Illinois 60139 1-630-613-9535
Director
Frank Jurek
336 West Herding Street
Lombard, Illinois 60139
1-630-613-9535
 
Director Julianne Viduya 2402 North New England Ave Chicago,Illinois 60707-2104 1-773-622-6901 .
 
Director John Waskowski 3720 Liberty Lane Glenview, Illinois 60025-1913 1-847-729-5029
 
Director
Eugene E. Beranek
4934 North Mason Avenue
Chicago, Illinois 60630-1913
1-773-725-1088
 
 
MOLD HARMLESS AGREEMENT
  1. The undersigned officer on behsMoftke subject organization agrees to Defend, indemnify, save and hold harmless the HARLEM FOSTER SHOPPING CENTER and the ALBERT HANS, LLC. MANAGEMENT OFFICE Located at 7240 West Foster Avenue, Chicago, Illinois 606S6
  2. The MOLD HARMLESS AGREEMENT would also include the area Around the JEWEL FOOD STORE where members ofthe VETERANS ORGANIZATION . The Polish Legion of American Veterans U.S.A. Will be handing out POPPIES for any donation that the public is willing To give the Veterans.
 
 
>.     The officer ofthe subject organization has read and voluntarily signs the HOLD HARMLESS AGREEMENT and waiver of liability and indemnity Agreement.
Direct Oj.- end ._:ast Ooiumander
April 1„ 2015
 
POLISH LEGION of AMERICAN VETERANS U.S.A. STANLEY BARABASZ POST 72
 
 
 
Page 6
 
 
 
 
 
 
 
March 8,2010
 
 
STATE DEPARTMENT OF ILLINOIS      -r .    , , ,.
POLISH LEGION OF AMERICAN
_mm_^ .      „ „ ,      ATTORNEY GENERi
VETERANS, U.S.A
C/O EUGENE E BERANEK 4934 N MASON AVE CHICAGO, IL 50630
 
RE:  RE: Status of STATE DEPARTMENT OF ILLINOIS POLISH LEGION OF AMERICAN VETERANS, U.S.A_ under tiie Illinois Charitable Laws CO# (51015056
 
DearS.egistran.t:
 
This letter is pursuant to your request that the Attorney General confirm the states cf STATE DEPARTMENT OF ILLINOIS POLISH LEGION OF AMERICAN VETERANS, U.S.A. under the Charitable Organization Laws.
 
This organization is ciirrsntly registered -with the Attoraejr General's Charitable Trust and Solicitations Bureau as CG# 01015056. Ii is current in the filing of its financial reports, navisg fled its report for the period eadedDecsmber 31,2008. Please let us know if you require ferther information.
 
Luz Guzman,Offlce Assistant Chsritable Trusts Bureau 1C0 Vest Randolph Streat, 11th Moor Chicago, Illinois 60601 Telephone: (312) 814-2595 ■
 
Sincerely,
 
 
PERMIT NO. 2015-09
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
 
PERMIT NUMBER:
2015-09
GROUP NAME:
Project H.O.O.D
 
 
ADDRESS:     6620 S. King Drive, Chicago, IL 60637
TELEPHONE NUMBER:
773-326-4200
CONTACT PERSON:
Corey B. Brooks
DATE WRITTEN REQUEST WAS RECEIVED:      April 6, 2015
SOLICITATION DATE:
May 15-16, 2015
 
 
 
 
 
 
 
 
CITY COUNCIL DATE:
April 15, 2015
COMPLETION OF FILE DATE:
 
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
 
DATE PERMIT LETTER WAS SENT TO ORGANIZATION:            April 15, 2015
 
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
 
 
 
COMMENTS:
 
 
 
 
 
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
 
(Please neatly print or type. In necessary in answering any questions, please attach additional sheets.)
  1. Name of organization: Project H.O.O.D. (Helping Others Obtain Destiny)
Address: 6620 S. King Drive, Chicago, IL 60637 Telephone Number: 773-326-4200
  1. Use the space below to list names, current position, residence addresses and telephone numbers of the officers in the organization:
 
Corey B. Brooks      6518 S. Kimbark, Chicago, IL 60637,      Chief Executive Officer
Kyle Marshall      393 Foster Way, Bolingbrook, IL 60440      Chief Financial Officer
Steve Bozeman        6620 S. King, Chicago, IL 60637 Drive       Chief Operations Officer
  1. List the date and approximate locations(s) of solicitation: May 15th and 16th
  2. Approximately how many persons will be engaged in the solicitation? There will be approximately 150 volunteers engaged in this event.
  3. Explain the methods your organization will use to solicit funds:
Volunteers will stand in designated locations to with collection container and request monetary donations from individuals.
  1. Has your organizations ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? No
  2. Include the following with your application:
    1. A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois.
    2. A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
  2. Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
 
Donations received will be used toward programs and services, which are offered through Project H.O.O.D., in the Woodlawn/Englewood community of Chicago.
 
 
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATER THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
 
 
 
 
 
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE EST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Signature      Title      Date
Signature      Title      Date
 
 
Signature (P%fff-   P^UrvJCQ^      Tide PajSo^J^J^      Date 3*30"/ST
 
 
HOLD HARMLESS AGREEMENT
 
 
 
 
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
 
 
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
 
 
 
The officer ofthe subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
 
 
 
 
 
fCO\eci jrVQQ
Naniefof organization
 
 
i\        A   U ;
Signature of organization officer U
 
 
 
 
Date
 
Mar-ZMS UI:U5pm
hrom-
T-616   P.02/02' F-815
 
 
 
 
 
 
March 27, 2015
 
OFFICE OF THE ATTORNEY GENERAL STATE OF ILLINOIS
 
Lisa Madigan
PROJECT HOOD COMMUNITIES DEVELOPMENT CORPORATION
6620 S KING DRIVE ^.ok^y^ka CHICAGO, IL 60637
RE: RE: Status of PROJECT HOOD COMMUNITIES DEVELOPMENT CORPORATION under the Illinois Charitable Laws CO# 01065341
Dear Registrant:
This letter is pursuant to your request that the Attorney General confirm The status of PROJECT HOOD COMMUNITIES DEVELOPMENT CORPORATION under the Charitable Organi2ation Laws.
 
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01065 3 41. his c urrem in the filing of us financial reports, having filed its report for the period ended December 31,2013. Please let us know if you require further information.
 
Sincerely,
 
Takiyah Martin Barnes, Compliance Officer
Charitable Trusts Bureau
100 West Randolph Street, 11th Floor
Chicago, Illinois 60601
Telephone: (312)814-2595
 
•      CHICAGO April 15.2015
To the President and Members of the City Council:
Your Committee on Finance having had under consideration one (1) order authorizing six (6) applications for City of Chicago Charitable Solicitation (Tag Day) permits.
 
A.      Alzheimer's Association - Greater Illinois Chapter
B.      -     . American Legion Chicago Fireman's Post 667
  1. American Legion -Peoples Gas Post #336
  2. Polish Legion of American Veterans
  3. RTW Veteran Center
  4. Project H.O.O.D
 
 
 
 
having had the same under advisement, begs leave to report and recommend that your Honorable Body pass the ordinance(s)/order(s) transmitted herewith.
This recommendation was concurred in by      (d^iva voce votg
of the members of the committee with      dissenting vote(s)).
 
Respectfully submitted
 
 
 
 
(signed