FORM 1023-EZ for CHAMBERS GROUP FOUNDATION

Field Data
EIN 82-4139315
Case Number EO-2018040-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMBERS GROUP FOUNDATION
Organization’s Mailing Address 3139 WISTERIA LANE
City FAYETTEVILLE
State NC
ZIP 28314
Accounting period End 12
Primary contact name TYRA CHAMBERS-COHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRA CHAMBERS-COHEN
PRESIDENT/CEO
3139 WISTERIA LANE
FAYETTEVILLE NC 28314

Officer/Director/Trustee Two

RASHAD RAHMAAM
VICE PRESIDENT
2030 HOKE LOOP ROAD
FAYETTEVILLE NC 28314

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 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 TYRA CHAMBERS-COHEN
Signature Title PRESIDENT/CEO
Signature Date 2/7/18

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