FORM 1023-EZ for ASCENSION CHAMBER

Field Data
EIN 87-2427767
Case Number EO-2021245-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASCENSION CHAMBER
Organization’s Mailing Address 3802 E ILLINI STREET UNIT 10
City PHOENIX
State AZ
ZIP 85040
Accounting period End 12
Primary contact name CHAD ANDREW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD ANDREWS
DIRECTOR
3131 E LEGACY DR UNIT 2085
PHOENIX AZ 85042

Officer/Director/Trustee Two

LAUREN WYCKOFF
DIRECTOR
PO BOX 2785
SCOTTSDALE AZ 85252

Officer/Director/Trustee Three

PETER GOLDE
DIRECTOR
225 NORTH 80TH PLACE
MESA AZ 85207

Officer/Director/Trustee Four

MARY REKER
DIRECTOR
1104 E CATHY DRIVE
GILBERT AZ 85296

Officer/Director/Trustee Five

SATYAM PATEL
DIRECTOR
3404 E CARDINAL WAY
CHANDLER AZ 85286

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U99 - Science and Technology Research Institutes, Services N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 CHAD ANDREWS
Signature Title DIRECTOR
Signature Date 8/31/2021

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