FORM 1023-EZ for CHRISTIAN HOME ALTERNATIVES INC

Field Data
EIN 46-0659641
Case Number EO-2016342-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN HOME ALTERNATIVES INC
Organization’s Mailing Address 1140 SW MARIGOLD PLACE
City FORT WHITE
State FL
ZIP 32038
Accounting period End 12
Primary contact name REV REYFREDO CHACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REV LUZ Z CORTES
PRESIDENT
1140 SW MARIGOLD PLACE
FORT WHITE FL 32038

Officer/Director/Trustee Two

REV ELIEZER GONZALEZ
VICE-PRESIDENT 1
164 SW LANTANA COURT
FORT WHITE FL 32038

Officer/Director/Trustee Three

JUAN C PRIMALLES
VICE-PRESIDENT 2
25914 NW 182 AVE
HIGH SPRINGS FL 32643

Officer/Director/Trustee Four

REV REYFREDO CHACON
TREASURER
30 CHAPIN STREET
HOLYOKE MA 01040

Officer/Director/Trustee Five

CONNIE ROLLBERG
FINANCIAL CONSULTANT
420 SOUTH ORANGE AVE SUITE 150
ORLANDO FL 32801

Organization’s website WWW.HOMEALTERNATIVES.ORG
Organization’s email INFO@HOMEALTERNATIVES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2011
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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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