FORM 1023-EZ for CHOSEN EMPOWERMENT INC

Field Data
EIN 83-3906348
Case Number EO-2019112-000677
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN EMPOWERMENT INC
Organization’s Mailing Address PO BOX 2170
City ELKTON
State MD
ZIP 21922
Accounting period End 12
Primary contact name DAYQUAN STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAYQUAN STEWART
FOUNDER BOARD PRESIDENT
457 BOOTH STREET
ELKTON MD 21921

Officer/Director/Trustee Two

JACQUE SEALS
BOARD OF DIRECTOR
109 SUGARBERRY DRIVE
NEW CASTLE DE 19720

Officer/Director/Trustee Three

JACQUELYN SEALS
BOARD OF DIRECTOR
109 SUGARBERRY DRIVE
NEW CASTLE DE 19720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 DAYQUAN STEWART
Signature Title FOUNDER BOARD PRESIDENT
Signature Date 4/19/19

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