FORM 1023-EZ for CHIOMAS VILLAGE INC

Field Data
EIN 86-1913357
Case Number EO-2021090-000690
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHIOMAS VILLAGE INC
Organization’s Mailing Address 515 EAST LAS OLAS BOULEVARD 120
City FORT LAUDERDALE
State FL
ZIP 33301
Accounting period End 12
Primary contact name NICOLE ANYADIKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE ANYADIKE
PRESIDENT
515 EAST LAS OLAS BOULEVARD 120
FORT LAUDERDALE FL 33301

Officer/Director/Trustee Two

CARMEN RAMIREZ
VICE PRESIDENT
515 EAST LAS OLAS BOULEVARD 120
FORT LAUDERDALE FL 33301

Officer/Director/Trustee Three

JANIE HOWERTON
TREASURER
515 EAST LAS OLAS BOULEVARD 120
FORT LAUDERDALE FL 33301

Officer/Director/Trustee Four

ANDREW PARISH
SECRETARY
515 EAST LAS OLAS BOULEVARD
FORT LAUDERDALE FL 33301

Organization’s website
Organization’s email ChiomasVillage@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name NICOLE ANYADIKE
Signature Title PRESIDENT
Signature Date 2/17/2021

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