FORM 1023-EZ for CHANDLER ELKS LODGE CHARITIES INC

Field Data
EIN 85-3415017
Case Number EO-2020288-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANDLER ELKS LODGE CHARITIES INC
Organization’s Mailing Address 1775 W CHANDLER BLVD
City CHANDLER
State AZ
ZIP 85224
Accounting period End 3
Primary contact name BRIAN GORSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE LIKE
BOARD CHAIR
15228 S 18TH AVENUE
PHOENIX AZ 85045

Officer/Director/Trustee Two

DENNIS APPEL
DIRECTOR
18308 E SAN TAN BLVD
QUEEN CREEK AZ 85142

Officer/Director/Trustee Three

BRIAN GORSKI
DIRECTOR
9406 E SUNRIDGE DRIVE
SUN LAKES AZ 85248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 No
Correctness Declaration Yes
Signature Name BRIAN GORSKI
Signature Title DIRECTOR
Signature Date 10/12/2020

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