FORM 1023-EZ for COMMUNITY FOR HOLISTIC INTEGRATION
| Field | Data |
|---|---|
| EIN | 83-2830166 |
| Case Number | EO-2019284-000284 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY FOR HOLISTIC INTEGRATION |
| Organization’s Mailing Address | 3166 JAYNE LN |
| City | DOVER |
| State | PA |
| ZIP | 17315 |
| Accounting period End | 12 |
| Primary contact name | JAMES LENTZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STACEY DUCKWORTH
PRESIDENT
3166 JAYNE LANE
DOVER PA 17315
Officer/Director/Trustee Two
ERIN SHRADER
BOARD SECRETARY
5830 HARMONY GROVER RD
DOVER PA 17315
Officer/Director/Trustee Three
BETH SMITH
WELLNESS COORDINATOR
384 WATERS RD
YORK PA 17403
Officer/Director/Trustee Four
JAMES LENTZ
TREASURUER
22 MEADOW DR
CAMP HILL PA 17011
| Organization’s website | WWW.CHIWEAVERS.COM |
|---|---|
| Organization’s email | CHIOFCENTRALPA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/14/18 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| Organization’s purpose | Charitable: No 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JAMES LENTZ |
| Signature Title | TREASURUER |
| Signature Date | 10/8/19 |
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