FORM 1023-EZ for CHRYSALIS COMMUNITY DEVELOPMENT AGENCY

Field Data
EIN 85-1388967
Case Number EO-2020188-000929
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRYSALIS COMMUNITY DEVELOPMENT AGENCY
Organization’s Mailing Address 110 MAIN STREET
City HAMILTON
State OH
ZIP 45013
Accounting period End 12
Primary contact name FREDERICK L MCQUEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FREDERICK L MCQUEEN
CEO/EXECUTIVE DIRECTOR
6580 ZOELLNERS PL
FAIRFIELD TOWNSHIP OH 45011-1009

Officer/Director/Trustee Two

ELLEN WYATT
BOARD MEMBER
7334 SCOTTWOOD
CINCINNATI OH 45234

Officer/Director/Trustee Three

CHERYL GRICE
BOARD MEMBER
4550 BLYSTONE VALLEY DR
MAUMEE OH 43537

Officer/Director/Trustee Four

CANDACE BRADY
BOARD MEMBER
1492 BUCK TRAIL LANE
WORTHINGTON OH 43085

Officer/Director/Trustee Five

VANESSA L MCQUEEN
BOARD MEMBER
6580 ZOELLNERS PL
FAIRFIELD TOWNSHIP OH 45011-1009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 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 FREDERICK L MCQUEEN
Signature Title CEO/EXECUTIVE DIRECTOR
Signature Date 7/4/2020

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