FORM 1023-EZ for COMMUNITY HEALTHCARE EDUCATION NETWORK

Field Data
EIN 20-2392232
Case Number EO-2015075-000497
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY HEALTHCARE EDUCATION NETWORK
Organization’s Mailing Address 3601 YOUREE DR
City SHREVEPORT
State LA
ZIP 71105
Accounting period End 12
Primary contact name DEBORAH MCCOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH MCCOY
PRESIDENT
270 SOUTH TANGLEWOOD DR
MINDEN LA 71055

Officer/Director/Trustee Two

DEBBIE PICKETT
TREASURER
8848 YOUREE DR
SHREVEPORT LA 71115

Officer/Director/Trustee Three

SHERI GONZALES
SECRETARY
9320 LINWOOD AVE
SHREVEPORT LA 71106

Officer/Director/Trustee Four

FELICITY MCKENZIE
PARLIMENTARIAN
PO BOX 53212
SHREVEPORT LA 71135

Organization’s website CHEN-NWLA.ORG
Organization’s email INFO@CHEN-NWLA.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2005
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
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 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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