FORM 1023-EZ for CHAI 4 HEALTHY LIVING
| Field | Data |
|---|---|
| EIN | 47-5656842 |
| Case Number | EO-2019269-000176 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHAI 4 HEALTHY LIVING |
| Organization’s Mailing Address | 2043 EASTBURN AVE |
| City | PHILADELPHIA |
| State | PA |
| ZIP | 19138 |
| Accounting period End | 12 |
| Primary contact name | ATIYA KEARNEY-LOFTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMBROCIA MARTIN
VICE PRESIDENT
210 LEEDOM ST
WYNCOTE PA 19095
Officer/Director/Trustee Two
JAMES COLEY
TREASURER
8440 LIMEKILN PIKE
WYNCOTE PA 19095
Officer/Director/Trustee Three
TYNISHA HERDER-DUNCAN
SECRETARY
1835 WILLARD AVE
WILLOW GROVE PA 19001
Officer/Director/Trustee Four
ATIYA KEARNEY-LOFTON
PRESIDENT
2765 MIRIAM AVENUE
ABINGTON PA 19090
Officer/Director/Trustee Five
O 0
0
O
O PA 19001
| Organization’s website | CHAI4HEALTHYLIVING.COM |
|---|---|
| Organization’s email | CHAI4HEALTHYLIVING@THERAPIST.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/16 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | ATIYA KEARNEY-LOFTON |
| Signature Title | PRESIDENT |
| Signature Date | 9/24/19 |
| EIN | 47-5656842 |
| Case Number | EO-2016218-000184 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHAI 4 HEALTHY LIVING |
| Organization’s Mailing Address | 2043 EASTBURN AVENUE |
| City | PHILADELPHIA |
| State | PA |
| ZIP | 19138 |
| Accounting period End | 12 |
| Primary contact name | ATIYA MYERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ATIYA MYERS
PRESIDENT
2765 MIRIAM AVENUE
ABINGTON PA 19001
Officer/Director/Trustee Two
AMBROCIA CRAWFORD
VICE PRESIDENT
621 CROYDEN ROAD
CHELTENHAM PA 19012
Officer/Director/Trustee Three
TYNISHA DUNCAN-HERDER
SECRETARY
1835 WILLARD AVENUE
WILLOW GROVE PA 19001
Officer/Director/Trustee Four
ARICIA JOASIL
TREASURER
1720 PRINCETON AVE
LAWRENCE NJ 08648
Officer/Director/Trustee Five
JAMES COLEY JR
SECRETARY
8440 LIMEKILN PIKE APT3-813
WYNCOTE PA 19095
| Organization’s website | CHAI4HEALTHYLIVING.COM |
|---|---|
| Organization’s email | CHAI4HEALTHYLIVING@THERAPIST.NET |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/23/2015 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | |
| Signature Title | |
| Signature Date |
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