FORM 1023-EZ for PSI CHI CHAPTER OF CHI ETA PHI SORORITY INC

Field Data
EIN 80-0649188
Case Number EO-2016132-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PSI CHI CHAPTER OF CHI ETA PHI SORORITY INC
Organization’s Mailing Address 728 MAPLE AVE
City SALISBURY
State NC
ZIP 28144-6142
Accounting period End 12
Primary contact name TAMMY FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ZENA THOMPSON
BASILEUS
115 WEDGEVIEW WAY
STATESVILLE NC 28677-9767

Officer/Director/Trustee Two

TERRALL BRYAN
TAMICHOUS
605 HAWKINSTOWN RD
SALISBURY NC 28144-7563

Officer/Director/Trustee Three

CHI-CHI RAY-LEAZER
ANTI-BASILEUS
418 ROBINSON RD
SALISBURY NC 28144-0581

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2011
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
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 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 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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