FORM 1023-EZ for CENTURIONS CHAPLAIN

Field Data
EIN 83-2283777
Case Number EO-2018320-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTURIONS CHAPLAIN
Organization’s Mailing Address 37615 DOVE LAKE DRIVE
City MAGNOLIA
State TX
ZIP 77354-1980
Accounting period End 9
Primary contact name TERESA RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES RUSSELL
ORIGINATOR
37615 DOVE LAKE DRIVE
MAGNOLIA TX 77354-1980

Officer/Director/Trustee Two

AARON ZOOK
PRESIDENT
668 PEACEFUL WOODS TRAIL
HOLLY LAKE RANCH TX 75765

Officer/Director/Trustee Three

DAN CHURCH
VICE PRESIDENT
15005 MT OLIVET ROAD
SMITHVILLE MO 64089

Officer/Director/Trustee Four

SUSAN ROBERTS
TREASURER
3664 BELLMORE DRIVE
BROWNSBURG IN 46112

Officer/Director/Trustee Five

TERESA RUSSELL
SECRETARY
37615 DOVE LAKE DRIVE
MAGNOLIA TX 77354-1980

Organization’s website
Organization’s email CHAPLAINJIM2008@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State TX
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: 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 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 TERESA RUSSELL
Signature Title SECRETARY
Signature Date 11/14/18

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