FORM 1023-EZ for THE CHOSEN LIFE INC
| Field | Data |
|---|---|
| EIN | 84-3626962 |
| Case Number | EO-2020023-000423 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CHOSEN LIFE INC |
| Organization’s Mailing Address | 105 TIMOTHY COURT |
| City | EATONTON |
| State | GA |
| ZIP | 31024 |
| Accounting period End | 12 |
| Primary contact name | THOMAS KEPHART |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THOMAS KEPHART
EXECUTIVE OFFICER AND PRESIDENT
105 TIMOTHY CT
EATONTON GA 31024
Officer/Director/Trustee Two
AMBER NICHOLS
CHIEF FINANCE OFFICER
105 TIMOTHY CT
EATONTON GA 31024
Officer/Director/Trustee Three
CALEB KEPHART
EXECUTIVE SECRETARY
105 TIMOTHY CT
EATONTON GA 31024
Officer/Director/Trustee Four
CHARLIE POWELL
CORPORATE COMPLIANCE OFFICER
7655 PLEASANTVILLE WAY
GROVETOWN GA 30813
| Organization’s website | |
|---|---|
| Organization’s email | THMS.KEPHART@THECHOSENLIFE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/9/2019 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| 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 | 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 | THOMAS KEPHART |
| Signature Title | EXECUTIVE OFFICER AND PRESIDENT |
| Signature Date | 1/21/2020 |
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