FORM 1023-EZ for COMMUNITY HOLISTIC MISSION INC

Field Data
EIN 82-2551423
Case Number EO-2017264-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY HOLISTIC MISSION INC
Organization’s Mailing Address 12325 NW 26TH CT
City CORAL SPRINGS
State FL
ZIP 33065-0086
Accounting period End 12
Primary contact name JONATHAN CADETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE SUTTON
VICE-PRESIDENT
680 NE 165TH ST
N MIAMI BEACH FL 33162-3632

Officer/Director/Trustee Two

RICKIE YOUNG
TREASURER
225 NW 7TH AVE
DANIA BEACH FL 33004

Officer/Director/Trustee Three

LUISKING PENA
BOARD CHAIR
10246 NE 53RD AVE
CORAL SPRINGS FL 33076

Officer/Director/Trustee Four

JESSICA DUNN
SECRETARY
7001 ENVIRON BLVD
LAUDERHILL FL 33319

Officer/Director/Trustee Five

JONATHAN CADETTE
PRESIDENT
12325 NW 26TH CT
CORAL SPRINGS FL 33065

Organization’s website
Organization’s email LOUCADLAW@JUNO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State FL
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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