FORM 1023-EZ for CHEMO UNCOVERED INC

Field Data
EIN 82-2225678
Case Number EO-2017306-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEMO UNCOVERED INC
Organization’s Mailing Address 235 37TH AVENUE NE
City ST PETERSBURG
State FL
ZIP 33704
Accounting period End 12
Primary contact name VELVET BAXLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAY HUGHES
PRESIDENT, BOARD MEMBER
235 37TH AVENUE NE
ST PETERSBURG FL 33704

Officer/Director/Trustee Two

VELVET BAXLEY
VICE PRESIDENT, BOARD MEMBER
14485 SWITCHBACK ROAD
SPRING HILL FL 34609

Officer/Director/Trustee Three

BRAD STOUT
BOARD MEMBER
13040 TAMPA OAKS BLVD
TEMPLE TERRACE FL 33637

Organization’s website WWW.CHEMOUNCOVERED.COM
Organization’s email VELVET@CHEMOUNCOVERED.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
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
Signature Title
Signature Date

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