FORM 1023-EZ for CHIPGANG CHOSEN HEIRS INTENTIONALLYPURE

Field Data
EIN 47-3077713
Case Number EO-2015160-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHIPGANG CHOSEN HEIRS INTENTIONALLYPURE
Organization’s Mailing Address 85 TIMBER COURT
City LYNCHBURG
State VA
ZIP 24501-2950
Accounting period End 12
Primary contact name RAMONDA HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAMONDA HENDERSON
CEO
85 TIMBER COURT
LYNCHBURG VA 24501-2950

Officer/Director/Trustee Two

AMINA NICHOLS
VICE PRESIDENT
7612 TIMBERLAKE RD - 434
LYNCHBURG VA 24502-2462

Officer/Director/Trustee Three

RAMONDA BARRETT
TREASURER
1420 DANCY STREET
JACKSONVILLE FL 32205-8321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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