FORM 1023-EZ for CHOSEN2SERVE INC

Field Data
EIN 90-0986314
Case Number EO-2018225-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN2SERVE INC
Organization’s Mailing Address 418 NE CRYSTAL ST
City CRYSTAL RIVER
State FL
ZIP 34428
Accounting period End 12
Primary contact name ALESONE MACCORMACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALESONE MACCORMACK
PRESIDENT
418 NE CRYSTAL ST
CRYSTAL RIVER FL 34428

Officer/Director/Trustee Two

JUNNAID JAVED
VICE PRESIDENT
418 NE CRYSTAL ST
CRYSTAL RIVER FL 34428

Officer/Director/Trustee Three

MARYANN HALUCHA
DIRECTOR
820 AVE Z NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Four

NIGEL SIKES
SECRETARY
418 NE CRYSTAL ST
CRYSTAL RIVER FL 34428

Officer/Director/Trustee Five

ROBYN MOORE
TREASURER
9161 NE JACKSONVILLE ROAD NUMBER 3
ANTHONY FL 32617

Organization’s website CHOSEN2SERVE.ORG
Organization’s email CHOSEN2SERVE,NET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/13
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 ALESONE MACCORMACK
Signature Title PRESIDENT
Signature Date 8/10/18

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