FORM 1023-EZ for CHRONIC CONDITION RESEARCH INC

Field Data
EIN 82-0653836
Case Number EO-2017201-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRONIC CONDITION RESEARCH INC
Organization’s Mailing Address 1497 MAIN STREET NO 304
City DUNEDIN
State FL
ZIP 34698
Accounting period End 12
Primary contact name JAMIE MARCARIO ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIVAN SARNA
PRESIDENT SECRETARY
1497 MAIN STREET NO 304
DUNEDIN FL 34698

Officer/Director/Trustee Two

DAVID DESROISSERS
VICE PRESIDENT TREASURER
1497 MAIN STREET NO 304
DUNEDIN FL 34698

Officer/Director/Trustee Three

KRISTY REGAN
DIRECTOR
8036 SE CARLTON STREET
PORTLAND OR 97206

Officer/Director/Trustee Four

GAYLE ANDERSON
DIRECTOR
4670 ARDALE STREET
SARASOTA FL 34232

Officer/Director/Trustee Five

MILES LARSON
DIRECTOR
1565 1ST STREET ROOM 110
SARASOTA FL 34231

Organization’s website SIBOSOS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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