FORM 1023-EZ for CSI CONGREGATION OF FLORIDA INC

Field Data
EIN 20-0009737
Case Number EO-2019210-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CSI CONGREGATION OF FLORIDA INC
Organization’s Mailing Address 11413 LAKE LUCAYA DR
City RIVERVIEW
State FL
ZIP 33579
Accounting period End 12
Primary contact name DANIEL CHERIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN PHILIP
VP
10822 CORY LAKE DR
TAMPA FL 33647

Officer/Director/Trustee Two

JOE CHAKKOLA
SECRETARY
10881 CORY LAKE DR
TAMPA FL 33647

Officer/Director/Trustee Three

SAJAN MODAYIL
TREASURER
P O BOX 16801
TAMPA FL 33687

Officer/Director/Trustee Four

DANIEL CHERIAN
DIRECTOR
11413 LAKE LUCAYA DR
RIVERVIEW FL 33579

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/03
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 DANIEL CHERIAN
Signature Title DIRECTOR
Signature Date 7/25/19

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