FORM 1023-EZ for CHOSEN ONES REHABILITATION

Field Data
EIN 84-5154684
Case Number EO-2021118-000330
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN ONES REHABILITATION
Organization’s Mailing Address 4025 N FRUIT AVENUE
City FRESNO
State CA
ZIP 93705
Accounting period End 12
Primary contact name LARAE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARAE JONES
CEO
4025 N FRUIT AVENUE APT 105
FRESNO CA 93705

Officer/Director/Trustee Two

ERICA ALVAREZ
PRESIDENT
4019 E GARLAND
FRESNO CA 93726

Officer/Director/Trustee Three

ADRIAN PEREZ
VICE PRESIDENT
3960 N FRUIT APT 123
FRESNO CA 93705

Officer/Director/Trustee Four

ANGILEE JONES
TREASURER
4174 WOODLAND PARK DR SW
ATLANTA GA 30331

Officer/Director/Trustee Five

TAIWO BLOOM
DIRECTOR OF ARCHIVES
3530 N LODI
FRESNO CA 93722

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 No
Correctness Declaration Yes
Signature Name LARAE JONES
Signature Title CEO
Signature Date 4/27/2021

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