Ordered, that the Committee on Finance is hereby authorized and directed to issue charitable solicitation (tag day) permits to the following organizations:
St. Mary of Providence October 28-29, 2015 Citywide
St. Florian School November 7, 2015 Citywide
This order shall take effect and be in for^/rom and after its passage.
«jfe> ^ V?fe A—-
Edward M. Burke Alderman, 14th Ward
Document No.
REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO
PERMIT NO. 2015-21
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2015-21
GROUP NAME: St. Mary of Providence
ADDRESS: 4200 North Austin, Chicago, IL 60634
TELEPHONE NUMBER: 773-545-8300
CONTACT PERSON: Sr. Darlene Johnson
DATE WRITTEN REQUEST WAS RECEIVED: September 20,2015
SOLICITATION DATE: October 28-29, 2015
CITY COUNCIL DATE: October 28, 2015
COMPLETION OF FILE DATE:
STATEMENT OE RECEIPTS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: October 28, 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.)
Name of organization: S+. MaRJ OF Pro*' ' OetO c. 6
Address: Ay< Ausr//J AVET.
Telephone Number: ^.
Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
C-HlCAO/C , IL- irOlr '3^
List the date and approximate location(s) of solicitation:
nUthtknn and tJeJ-erh^cr aiuJcll a3 flntvw Around SLmconjs
Approximately how many persons will be engaged in the solicitation?
Explain the methods your organization will use to solicit funds: j \ i 4
H^brAeufc O/J.STf^ Z^7,F/A*, rwc C*l&, 4ollec.1 a^d y^C ^
Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? .
Include the following with your application: Ewtl
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.
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.
Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
&u& i^'fA-'refw, Wear b^hrr tye.lWo ap^os Uve a WevV' pn'^m^d
mW 'p^kd~' W1 a-^^ arc 1A 6(v^u ^
4-co.c iT^ret C.\&.sc- -ro^eiKet- A^k 5a QA^. , J
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.
Date
The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/VVE, 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.)
Signature ^5w^/\aJ2s>^^^Wvr:-y^ Title F/£ ^Qtw^'flg-- Date
Signature Title £fk^£^v*A^-\^ Date "/5~
Signature \ Title Date
Internal Revenue Service Department of the Treasury
P.O. Box 2508 Cincinnati, OH 45201
Date: June 12, 2013 Person to Contact:
Roger Meyer ID# 0110429 Toll Free Telephone Number:
877-829-5500
United States Conference of Catholic r _ Employer Identification Number:
Bishops j
3211 4th Street, NE ~ Group bxemption Number:
Washington, DC 20017-1194 "
Dear Sir/Madam:
This responds to your June 5, 2013, request for information regarding the status of your group tax exemption.
Our records indicate that you were issued a determination letter in March 1946, that you are currently exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code, and are not a private foundation within the meaning of section 509(a) of the Code because you are described in sections 509(a)(1) and 170(b)(1)(A)(i).
With your request, you provided a copy ofthe Official Catholic Directory for 2013, which includes the names and addresses ofthe agencies and instrumentalities and the educational, charitable, and religious institutions operated by the Roman Catholic Church in the United States, its territories, and possessions that are subordinate organizations under your group tax exemption Your request indicated that each subordinate organization is a non-profit organization, that no part ofthe net earnings thereof inures to the benefit of any individual, and that no substantial part of their activities is for promotion of legislation. You have further represented that none of your subordinate organizations is a private foundation under section 509(a), although all subordinates do not all share the same sub-classification under section 509(a). Based on your representations, the subordinate organizations in the Official Catholic Directory for 2013 are recognized as exempt under section 501(c)(3) ofthe Code under GEN 0928.
Donors may deduct contributions to you and your subordinate organizations as provided in section 170 ofthe Code. Bequests, legacies, devises, transfers, or gifts to them or for their use are deductible for federal estate and gifts tax purposes if they meet the applicable provisions of section 2055, 2106, and 2522 of the Code.
Subordinate organizations under a group exemption do not receive individual exemption letters. Most subordinate organizations are not separately listed in Publication 78 or the EO Business Master File. Donors may verify that a subordinate organization is included
in your group exemption by consulting the Official Catholic Directory, the official subordinate listing approved by you, or by contacting you directly. IRS does not verify the inclusion of subordinate organizations under your group exemption. See IRS Publication 4573, Group Exemption, for additional information about group exemptions.
Each subordinate organization covered in a group exemption should have its own EIN. Each subordinate organization must use its own EIN, not the EIN ofthe central organization, in all filings with IRS.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely
Cindy Thomas
Manager, Exempt Organizations Determinations
CATHOLIC CHURCH LN THE U.S.
O.SA., Chut,., Era Brian Beyic, Chop.; "Carol
Elilcr. Chap, Denser, Kick Fclles. Chap., I Chnsta Henrich, Chap., Margaret Nyangw*!, Chao; Knrgercl Schneider. Chop.; Joollyn Skrip, Chap.-. Deacon Kiehaid Warfield. Mgr. Pastoral
Care.
The Lillle Company 0/ iV/n.-v fr'u.yira/ cm r/eai.'A Cars Centers Sisters or the Little Company of Mary 17; Bed Caoacity 293; Bassinets 24. Patients Assisted AnnniPjr 236.502.
/,i,7.'c CoHioonv of Mary Auxiliary, 2600 W 95lh St,
60805. Til 708-229.5447 Utile Company of Alary Affiliated Sa vices, Inc
3800 W 95lh St., 60805 Sbl- 708-422-0200. Ext
51CO Fa*. 708-425-9369 Polos G;;."cv Cuurr. 22400 S Harlem, Pnlos Heights,
60463 To!: 793-443-1207; Fax- 708-361-8049. 6700
VV. 95th St, Oak Lawn, 60463. Tel: 703-974-7300 Oak La-Mi Can Station, 5660 W. 85th St Oak
Lawn, 60453. Tel 708-199-2273. Fax 708-857-
3703.
Hurbank Qjjke Building, 4901 W. 79th St., Barborik, 60459. Ttfl 703-424-2273, Fax: 70S-S57-3713.
2SCC
Ajciv rotter Pavilion, 2850 W. 95th St., 60805. Tel-708-229-5148.
Utile Company o> Mary Hospital Foundation, 2 W. 95lh SI, 60805 Tel 708229-5022, Fax- 708-:
Tel. S47-S
6525 Brian Lepaeek, Exec. Dir Little Company of Man.- Health Systems of Evergreen Pi" I', 2800 W. 95th St, 60805 Tel: 708-422-6200, Ext 5004. Dennis Reiily, Pres: Sr. Jeen Stickney, Treas ; Kevm Egan, Sec. i-Jo.'F.MOi Estates .-Wcvian Brother-, Behavioral Health Hospital, 1350 Moon Lake Blvd., 60169. •47-8S2-1600; Fax: 847-755-8060. Web: neolLh.org Clayton Ciha, CEO & Pies; Stan Kedzicr, Dir. Mission Integration, Michcle Guest, Coord. Chap. Congieuation or
Conception Province Total Staff 710, Beds 1-11; Patients Assisted Annually 18,962. Parents
Alexrnn Brothers Health System Tel: 847-3S5-7147,
Fax: 847-483-7036 Aierian £ro//icrs Hospital AWo;t Tel- 847-335-
7147; Fax- $47-483-7036. 1 St Alexius Medical Center, 1555 Barrington Rd., G0169 Tel. S47-8-13-2000; Fax- 847-490-2570. Web-www alexkinbroUiershealth org Edward M. Goldbeig, Prr.s & CEO, Stan Kedzior, D17
Integration; Sisteis Laura Miuikivskv, M Die , Staff Chap.; N. Noemio Silva. Staff Chap., Revs. Domingo Kurtado-Badillo. Chap.; Mykhailo Kuzma, Chap., Tom Thomas. M S.F.S., Chap.; Phillip Surdynski, Staff Chap. Congregation or Alexian Brothers, Iainiacolate Conception Pinvincs. Licensed Beds 310. Lay Staff 1,930, Patients Assisted Annually 274,420. Parent Institutions. Altaian Brothers Health System Tel 847-3S5-7147,
Fax: 847-183-7036. Aituan Brothers Hospital Netioork Tel: B47-385-7147; Fax. 847-483-7036. Maywood. -Loyola University Medical Center aim Foster C UcGaw Hospital 2160 S First Ave, 60103 Tei. 70S-216-9000, Fax 708-216-1121. Web-lovolamedxcine.org Mr. Larry M. Gcidbeig, Pres Si'CEO, Wendy Leutgens, B.S , EN., M.S., CEO, LUMC; Rev. John J O'Callaghan, S J., S.T.D., Vice Pics., Mission ft Ministry; Jili M Rappis, J.D Sr V-ce Pres., Gen Counsel & Sec; Mane M PS . Dir. Pastoral Care & Educ.; Medina. S J ; TliDn Le, S.J.; Mr. Jerry Kaebn M.Div., M A , Chan. CPE Sepvr CPE Mer.; Revs Jrnr.cs J. Creighton, S.J., CPE Supvr.; Keilcv Broixwer. Ms Kathleen Brannigan. MTS., Revs Matthew Eaton, M Div.; Alin Dogaiu, Romanian Catholic Diocese of U S.; Mr Robert 'Andorka, Mr. John Grubbe. M.Div., M.A.; Sr. Fran G'.owimki, OS P.: M:s. Rath Jandeska. M.Div; .Ms Deirdre Manning, Rev. Loo Sxnits. M Div. Bed Caosciti £68; Total Stall 6,000; Patients Assisted Annually 70,000 0\K Park. Hush Oan Park Hospital. 520 S Maine Ave , 60304 Tel. 708-3S3-9300, Fax- 70S-660-685S Mr Bruce M Elegant. Pres. & CEO; Aoife Lee, Dir Spiritual Care it Mission: Ian C. Btucb, Cl-.au., Svivisx Fromo-.e, Chao
Rash Oak Park Hospital Whs a urn Franciscan SUers Bed Capacity 237; Tcia; Stall" 702, Patients Assisted Annually 86.751.
[KJ HEALTH CARE CENTERS Cw:c*00 St. Basil Health Service - Free People's Clinic, 1S50 W. Gaifield, 60609 Tel 773-436-4758, Fax: 773-435-2749 Patients Assisted Annnaliy 5.000 BRWV3VHW -Piesence Behavioral Health dba PioCaie Centers: ProVUo Family Senices; Employee Center Resurrection Eepiess Core 1320
S 25th Ave., 60160. Tel: 708-661-2324, Fax. 70S-631-1289. Web: www.resheallh.uiij Sandra Bruce, Pics.; .Mr. Frank C. Pcr'nnir., Vice Pres., Behavioial I-lealth. Sponsored bv the SisLeis of the Holy Family ol' Nazareth & Sistcis of the Kesurieclion , An Affiliate of Presence Health Patients Assisted Annually 20,000; Total Staff 200.
IL] PROTECTIVE INSTITUTIONS Chicago House ofthe Good Shepherd, 1114 W. Grace St, 60613. Tel- 773-935-3434; Fax: 773-935-3523. Mailing Address: PO Box 13-183, 006.13. A'oosc of Ihe Good Shevhenl Sisters of Tim Good er fcr abused women with 4, Capacity (Families) 14; Total Stall 26.
-VAiche Chicago, 2010 W. Carroll Ave., 60612 Tei. 312-226-1273; Fax 70S-S63-1273 (Call first':
www.lai-checbicago.org Alexandra Camay, Community Leader & Dii. L'Aiche is people with
nowski,
and without intellectual disabilities sharing l:l'e in communities or laith. Mutual relationships and trust in God is at (he heart ofoin.lile together. ¦ St. Mary, of Providence, -1200 N. Austin f , Tel: .773-545-8300; Fax: 773-545-8035: Sr. i McCafforU, Dir.; Darie'ne Zdanow Thomas A. Mulcrune, Chop. 87 .Mory of Providence, Developmental training mtial care of deveiopnientally disabled us S; Total Staff ISO, Total ,
and
Annxxallv 120, Bed Capacity 96. Miseneordia Home, 6300 N Ridge, 60660-1017. Tel 773-973-6300; Fax: 773-973-5214 Web: www miseneordia coir. Sr. Rosemary Connollv, RSM., Exec Dir; .Rev. John J Clair, Asst Exec Dir. Children and adults with developmental disabilities. Priests I; Sisters 13; Total Staff 936; Bed Capacity 612; Total Assisted Annually 745. BA3TLETT. Bartlett Learning Center, 801 Cajillon Dr, 60103. Tel: 630-289-4221, Fax. 630-289-4390. Michael Meis, Prin., Moisctto McNeinev, Librarian.
Barlelt Learning Center, Inc. dbo Clare Woods Academy and Cuncrtino Home. Sponsored by the Sisters of St. Joseph, Third Order of St. Francis., Operates Bartlett Learning Center Day School Program and the Cupertino Home, Warrenville, IL. Day School urogram serves developrr.entally delayed and multiple handicapped individuals ages 3 10 21 Day School Program accept!, vouth identified LD, BD. EMH, TMH, and TBI Speech/ Language Impaired, Autistic Community Intonated Living Arrangement Serves deveiopmentallv delayed gentlemen ages IS to 45 Sisters 2; Lay Staff SS; Patients Assisted Annually 115.
LaICS ZiralCH. Ml St Joseph Home, 24955 North Hwy. 12, 60047. Tel- 847-133-5050; Fax 847-438-6313. Email: msjl7.@aol.Lom . Web: mtstjosenhhome com Sr Anna Maria Bilotta, Exec Dir. Operated by the Daughters of St Mary of Providence, Intermediate care fcr deveiopmer.tally disabled women. Sisters 6; Total Staff 180, Total Assisted Annually 130, Bed Capacity 132
River Forest. Big Sisters, P.O. Box 5728. 6C305. Tel 70S-488-8S93 VVeb: bicsistersolchicago.org Mrs Susan Duffy, Pres, Mrs Mary Alice Jovan, Post Pres.
TtMlEY PARK. Si Colctta's of Illinois, Inc . 18350 Classing Dr, 60457. Tel. 708-342-5200; Fax: 705-342-2579 Web: www stcclettas.coia Wayne A. Kottmever, Exec. Dir Sponsored by the Sisters of St Francis of Assis-,. Residential care, education, job training & job placement for develouinentally disabled children and adults Capacity 1S7; Total Annually 400; Tctal Staff 320.
Lt. Joseph P Kennedy Jr. School. Tiniey Park Tel:
708.342-5200, Fax: 708-342-2579. Vocational .lob Training Center. Tinicv Park Tel-
708-342-5200. Fax. 708-342-2579. St. Colctta's of Illinois Foundation Tel: 708-342-0246, Fax: 708-342-2579 r Affiliate.'
Nov.-ak, CR ,
[M] SENIOR CARE INSTITUTIONS
CHICAGO. ConU-.nd .Manor Retirement Home, 1900 N
Karlnv, 60639. Tei 773-235-3070 Maureen
Schollo, Admin Catholic Charities Housing
Development Cciporation. Capacitv -IS.
f-renciseon Communities dba St. Joseph Vilhae of
Chicago 4021 W. Belmont Ave., 50541 Tel: 773-
328-5500; 800-524-6126. Email: sja@
ww-wstioiephvillagoofchicngo com Lore Ann Slawinski. Admin., Rev John K Chap- Sisters S; Licensed Beds S-4
2300 N. Racine, 60614 Tel: 773-935-Fax: 773-935-9614.
Jllgon Te.'race,
hUlesistcisoaiiepooi-.n.-;. Utile Sisters of the Poor of ChUafo, inc Housing Apis. 50. Little Sis'ters of the Poor Center for the Agms, 2320 N. Laltcwood Ave , 6061-;. Tel: 773-935-9600, Fax. 773-935-9614. Sr I'a-ncia Metegar. LSI", Sum Little Slilen of the Poor of Chicago. Inc ¦ a and skilled caie facility. Sisters 11, 76, Bed Capacitv 76; Staff i.iO, Assisted Annually 100. Presence Resurrection Life Cenlei. 7570 W. Talcotl Ave , 606.11. 'Oil: 773-59-1-7400, F::x 773-594-7402 Web: www honiorb.preiencehoultk erg. Bruce, Pres , Nancy Raxo, Admin., Sr. M. Kiafeu, CR, Chap., Ccnccieso Mesriuiia, Chap Fiantesca Witkowska, Chan. A division 0! Presence Keaitli RHC, Skilled :::tcrined:tiie and sheltered nursing care. Bed Capacity 162. P.-esen-.-e Resiiiicclion Fciirsincr.t Conunnrit-, 12$" W. Peterson Ave., 60631. Tei- 773-792-7930, Fax-. 773-792-S3I0 Web www.proscnccheallh o:g. Sandra Bruce. Pres., Sr Kathleen Ann Stadici, C.SF.N, Evec Dir, Nancy Gaicia, V/ce Pres Mission Sves; Lawrence Valentine. Chan A division of Presence RHC C01 by Presence RHC Living Apartments 435; Assisted Livu-.i: Apartments 37. Total Staff IOC, Total Assisted Annually 500. DCS PUAINKK. Presence Nazal cthmlie, 300 N Ki-.-er Rd , 60016 Tel- 847-297-5900. Fax: 847.297-0004. Web: www.nr.ia : ethville.com Sr M. Madura, C.S.FN., Admin. Sponsored bv Health Total Assisted Annually 30,295. EVANSTON Soii.'i Francis Nut sing and
Center, 500 Ashturv Ave, 00202 lei- '847-316-
3320, Fax. 847-316-3337 Web
www.senioi-sresheali.ll.oig Sandra Bruce, Pres; Michael Kaplan, Admin.; Leszek Baczkurn, Coord Spiritual Svcs.; Lauren Ivory, Chop. Sponsored bv Sisters of the Holv Family of Nazareth and Sisters of the Resurrection , A division of
Michael S'.acv Holv Family of , A
Capacity 127. Gi.r;NV[t;w. Presence Mcr.'liavcn Nursms; and Rehabilitation Center, 1700 East Lake Ave., 60025. Tel: S47-72S-1300; Fax: 847-729-9620
Chap. Sponsored bj Sisters ol the )f Nazareth and Sisters of the
: RHC
of Pr
Aged, inteiinediate and skilled care facilities, Medicare, Therapy. Tjtai Staff 110; Capacity 130. Total Assisted Annually
JUSTICE. Rotary Hilt Home, 9000 W. Slst St , 60458 Tel. 708-458-3040; Fix. 708-453-7230 Email rosaryhillfebcglnbal net Sr. M. Natalie, O P., Admin.; Rev. Ray Jnsmski (Retired) Operated by the Sisters of the Immaculate Conception. Sinters 12. Bed Capacitv GO; Nurabe:- under care 60, Staff 35.
L.lG RANGE P.-VHK
Woods
319; Bed Capacity 334,
unity, 1571 Ogden Ave., La Grange Park, 60526 Tel: 70S-579-36S3; Fax 703-579-7159. Web. wwwsentti-3.reshcaith.01 g Sandra Bruce, Pres.; Mary Jester. Exec Dir. Laura ¦! Williams, Chap., Timothv John Doodv. Chap Sponsored by Sisters of the Holy Family of Nazareth and Sisters of the Resurrection A division of Presence Health Care managed bv Presence RHC Senior Sen-ices, indeoendent livinr
LSMO.N7 Alvernia Manor Senior Limns, 13900 Main
St., 60439 Tel- 630-257-772:; Fax. 030-257-0333.
Email- infoS'a.lvorniair.anor org Web
wwwalveiniamanor.org . Sr Cvntl-.ia Di-o-zd, ' O S.F, Adrr.m Sponsored bv The School Sisters of St. Francis of Christ the King. Residents 50. Franciscan Vitioite, 1270 Franciscan Dr., 60-139 Tel 630-243-3400, Fax. 630-257-5823 Web
Exec. Dir Sponsored by the Francisco;: Sisters of Chicago., Cor.cir.uma; Care Reareir.e-.ii Community independent Living 196. Assisted Living 30; Nursing Home 127; Total Staff 230 NllEi Presence Sowt Andreic Life Center, 700S N Newark A\c. 69714-4497 Tei: 847-047-8332. Fax 847-647-7073 Sand)a Bruce. Pres.; Mrs Alpana Patel, Exec. Dir: Sr Kathrvn Woick. C R., Civp Sponsored by Sisters of the Holy Family of Nazareth and Sisters of the Resurrection . A division or Presence RHC Scnicr Services. Independent living apartments. Licensed assisted livinit anartments and Intermediate Nursum CnreT Ni'mihsr Under Care 157. Presence Sonn' ilsnedict i\!:,nir.g and Rehabilitation
\ Illinois Department of Revenue
-W' Office of Local Government Services 'i!jH' Sales Tax Exemption Section. 3-520 ~y'/ 101 W. Jefferson Street . Springfield, Illinois 62702 217 782-8881
February 28, 2014
CATHOLIC CHURCH ARCHDIOCESE OF CHICAGO MAUREEN A MURPHY 835 N RUSH STREET CHICAGO IL 60611-2030
We have received your recent letter; and based on the information you" furnished, we believe
CATHOLIC CHURCH ARCHDIOCESE OF CHICAGO of
CHICAGO, IL
is organized and operated exclusively for religious 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:
_j To claim the exemption, you must provide this number to your suppliers wheh"p~u?chasing 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 March 1, 2019, 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
St. Mary of Providence 4200 N. Austin Avenue Chicago, Illinois 60634
STS-49 IR-2/981 11-492-3456 \ \~QQ00223
PERMIT NO. 2015-22
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2015-22
GROUP NAME: St. Florian School
ADDRESS: 13110 South Baltimore, Chicago, IL 60633
TELEPHONE NUMBER: 773-646-2868
CONTACT PERSON: Crystal Grankowski
DATE WRITTEN REQUEST WAS RECEIVED: September 20, 2015
SOLICITATION DATE: November 7, 2015
CITY COUNCIL DATE: October 14,2015
COMPLETION OF FILE DATE:
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: October 14, 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.)
Name of organization:
o r i a.O ^ic: Yl oo I Address: i^ | j0 S. fW+lfVloO^ C^C^cy |u UOl-3'3 Telephone Number: £Y~v3) ^ |,, 29G->9
Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
List the date and approximate location^) of solicitation:
Approximately how many persons will be engaged in the solicitation?
30 pox en \ s | ^«? n \- S
Ai. Explain the methods your organization will use to solicit funds:
VJe wvU s*Vr;u-K.\ GoV bw^ ejo6. Has your organization ever been allowed to solicit funds in prior years in the
City of Chicago? If so, when? Yes, O cA S u.r e. oi- pr e u K 0lAS cRA- e 5
Include the following with your application:
A copy of the registration statement filed with the Attorney General ofthe State of Illinois; or exemption issued by the Attorney General ofthe State of Illinois.
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.
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.
IAVE, 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.)
SignatureA^^k^H ^.v(,*j[l&^>itle -Pfa%[*jQ4P Date '///15~
Signature Title Date
Sign a tu re ^ Title D ate
HOLD HARMLESS AGREEMENT
1. 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.
Name of organization
3. The officer of the subject organization has read and voluntarily signs the .hold harmless agreement and waiver of liability and indemnity agreement.
I t
I
{Internal Revenue Service P.O. Box 2508 Cincinnati, OH 45201
Date: June 4, 2014
United States Conference of Catholic Bishops
3211 4th Street, NE Washington, DC 20017-1194
Dear Sir/Madam:
Person to Contact:
Roger Meyer ID# 0110429 Toll Free Telephone Number:
_J37Z=829=5500. EmpSoyer identification Number:
Group Exemption Number:
This responds to your May 19, 2014, request for information regarding the status of your group tax exemption.
Our records indicate that you were issued a determination letter in March 1946, that you are currently exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code, and are not a private foundation within the meaning of section 509(a) of the Code because you are described in sections 509(a)(1) and 170(b)(1)(A)(i).
With your request, you provided a copy of the Official Catholic Directory for 2014, which includes the names and addresses of the agencies and instrumentalities and the educational, charitable, and religious institutions operated by the Roman Catholic Church in the United States, its territories, and possessions that are subordinate organizations under your group tax exemption. Your request indicated that each subordinate organization is a non-profit organization, that no part of the net earnings thereof inures to the benefit of any individual, and that no substantial part of their activities is for promotion of legislation. You have further represented that none of your subordinate organizations is a private foundation under section 509(a), although all subordinates do not all share the same sub-classification under section 509(a). Based on your representations, the subordinate organizations in the Official Catholic Directory for 2014 are recognized as exempt under section 501 (c)(3) of the Code under GEN 0928.
Donors may deduct contributions to you and your subordinate organizations as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to them or for their use are deductible for federal estate and gifts tax purposes if they meet the applicable provisions of section 2055, 2106, and 2522 of the Code.
Subordinate organizations under a group exemption do not receive individual exemption letters. Most subordinate organizations are not separately listed in Publication 78 or the EO Business Master File. Donors may verify that a subordinate organization is included
CHICAGO October 28. 2015
To the President and Members of the City Council:
Your Committee on Finance having had under consideration one (1) order authorizing two (2) applications for City of Chicago Charitable Solicitation (Tag Day) permits.
St. Mary of Providence October 28-29, 2015 Citywide
St. Florian School November 7, 2015 Citywide
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 (Cajva voce vote^
of the members of the committee with dissenting vote(s)).
Respectfully submitted
(signedwA A^J o^_\u >(r\^r JL.^
Chairman )
/
Document No.
REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO