FORM 1023-EZ for CHOSEN FOR WORSHIP MINISTRIES INC

Field Data
EIN 80-0902418
Case Number EO-2019077-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN FOR WORSHIP MINISTRIES INC
Organization’s Mailing Address 6199 FAIRBANKS FERRY RD
City HAVANA
State FL
ZIP 32333
Accounting period End 12
Primary contact name LESLIE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE ROBINSON
DIRECTOR/PRESIDENT
6199 FAIRBANKS FERRY RD
HAVANA FL 32333

Officer/Director/Trustee Two

REMEL SPENCER
VICE PRESIDENT
102 SWEET STREET
HAVANA FL 32333

Officer/Director/Trustee Three

LAQUITTA ROBINSON
SECRETARY
910 JACKSON STREET
HAVANA FL 32333

Officer/Director/Trustee Four

MONTRAIL HARRIS
TREASURER
1007 JACKSON STREET
HAVANA FL 32333

Officer/Director/Trustee Five

SHEBRA HILL
TRUSTEE
502 EAST 9TH AVE
HAVANA FL 32333

Organization’s website
Organization’s email CHOZN4WORSHIP@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/17
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 Yes
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 LESLIE ROBINSON
Signature Title DIRECTOR/PRESIDENT
Signature Date 3/14/19

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