FORM 1023-EZ for AMBROSIA WELLNESS VETERAN CENTER

Field Data
EIN 85-3048210
Case Number EO-2020273-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMBROSIA WELLNESS VETERAN CENTER
Organization’s Mailing Address PO BOX 4020
City KILLEEN
State TX
ZIP 76540
Accounting period End 12
Primary contact name CABRIELLE CHANDLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSS CHANDLER
PRESIDENT, DIRECTOR
513 TAURUS DR
KILLEEN TX 76542

Officer/Director/Trustee Two

CABRIELLE CHANDLER
SECRETARY, DIRECTOR
PO BOX 4020
KILLEEN TX 76540

Officer/Director/Trustee Three

ROSS DONESIAN
TREASURER, DIRECTOR
5209 E VETERANS MEMORIAL BLVD
KILLEEN TX 76543

Officer/Director/Trustee Four

RORY GABRIEL
DIRECTOR
513 TAURUS DR
KILLEEN TX 76542

Officer/Director/Trustee Five

ROYCE LEE
DIRECTOR
PO BOX 4020
KILLEEN TX 76540

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 CABRIELLE CHANDLER
Signature Title SECRETARY, DIRECTOR
Signature Date 9/25/2020

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