FORM 1023-EZ for EMB CHRYSALIS FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-0979120 |
| Case Number | EO-2018229-000193 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EMB CHRYSALIS FOUNDATION |
| Organization’s Mailing Address | 2909 MARGEAUX DRIVE |
| City | LANCASTER |
| State | TX |
| ZIP | 75134 |
| Accounting period End | 12 |
| Primary contact name | EMILY BLUE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EMILY BLUE
PRESIDENT
2909 MARGEAUX DRIVE
LANCASTER TX 75134
Officer/Director/Trustee Two
CHRISTOPHER BLUE
VICE PREIDENT
2909 MARGEAUX DRIVE
LANCASTER TX 75134
Officer/Director/Trustee Three
ROSE BOLDEN
DIRECTOR
1105 LONGMEADOW LANE
DESOTO TX 75115
Officer/Director/Trustee Four
ALI MORGAN
DIRECTOR
87 SKY MEADOW PLACE
WHITE PLAINS NY 10617
Officer/Director/Trustee Five
JACQUELINE SMITH
TREASURERE
1613 NESTLEDOWN DRIVE
ALLEN TX 75002
| Organization’s website | WWW.EMBCHRYSALISFOUNDATION.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/5/18 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P40 - Family Services |
| 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 | 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 | EMILY BLUE |
| Signature Title | PRESIDENT |
| Signature Date | 8/14/18 |
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