FORM 1023-EZ for CHICARE CREATIVE SOLUTIONS

Field Data
EIN 83-2762024
Case Number EO-2019322-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHICARE CREATIVE SOLUTIONS
Organization’s Mailing Address 1041 CHICO RD
City CRAWFORDVILLE
State GA
ZIP 30631
Accounting period End 12
Primary contact name NENIA BRADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANGELLA BRADLEY
CEO
1041 CHICO RD
CRAWFORDVILLE GA 30631

Officer/Director/Trustee Two

RONIA NEVELS
EXECUTIVE DIRECTOR
2257 ROCKSRAM CT
BUFORD GA 30519

Officer/Director/Trustee Three

RODNEY BRADLEY
CHIEF FINANCE OFFICER
2257 ROCKSRAM CT
BUFORD GA 30519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 Yes
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 TANGELLA BRADLEY
Signature Title CEO
Signature Date 11/15/19

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