FORM 1023-EZ for CHRYSALIS VETERANS SERVICES INC
| Field | Data |
|---|---|
| EIN | 84-3689563 |
| Case Number | EO-2020049-000581 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRYSALIS VETERANS SERVICES INC |
| Organization’s Mailing Address | 2438 E CHIPMAN RD |
| City | PHOENIX |
| State | AZ |
| ZIP | 85040 |
| Accounting period End | 12 |
| Primary contact name | CAROLYN DOTSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CAROLYN DOTSON
STATUTORY AGENT AND BOARD SECRETARY
2438 E CHIPMAN RD
PHOENIX AZ 85040
Officer/Director/Trustee Two
JULIAN DOTSON
CHIEF EXECUTIVE OFFICER
2438 E CHIPMAN RD
PHOENIX AZ 85040
Officer/Director/Trustee Three
MAURICE BRUNDIDGE
BOARD MEMBER
9409 S 26TH DR
PHOENIX AZ 85041
Officer/Director/Trustee Four
EVA MARIN
BOARD MEMBER
2301 S STEARMAN
CHANDLER AS 85286
Officer/Director/Trustee Five
ALEXANDRIA DOTSON
BOARD MEMBER
5103 S MILL AVE APT 3172
TEMPE AZ 85282
| Organization’s website | WWW.CHRYSALISVETERANSVC.ORG |
|---|---|
| Organization’s email | INFO@CHRYSALISVETARENSVC.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/16/2020 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L20 - Housing Development, Construction, Management |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CAROLYN DOTSON |
| Signature Title | STATUTORY AGENT AND BOARD SECRETARY |
| Signature Date | 2/14/2020 |
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