FORM 1023-EZ for TAKE CH9RGE

Field Data
EIN 81-3149390
Case Number EO-2016196-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAKE CH9RGE
Organization’s Mailing Address 4608 WHITEHALL DRIVE
City SOUTH EUCLID
State OH
ZIP 44121
Accounting period End 12
Primary contact name CHARLES DORSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES DORSEY
PRESIDENT
4608 WHITEHALL DRIVE
SOUTH EUCLID OH 44121

Officer/Director/Trustee Two

STEPHAUN YOUNGBLOOD
VICE-PRESIDENT
18714 KEWANEE
CLEVELAND OH 44119

Officer/Director/Trustee Three

LAKEISHA DORSEY
TREASURER
4608 WHITEHALL DRIVE
SOUTH EUCLID OH 44121

Officer/Director/Trustee Four

LAKISHA TEMPLE
SECRETARY
15517 ROCKSIDE ROAD
MAPLE HEIGHTS OH 44137

Organization’s website
Organization’s email TAKECH9RGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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