FORM 1023-EZ for CHAYAH

Field Data
EIN 32-0572047
Case Number EO-2019119-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAYAH
Organization’s Mailing Address PO BOX 1051
City WAXAHACHIE
State TX
ZIP 75168
Accounting period End 12
Primary contact name MELISSA RAWLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA RAWLINS
PRESIDENT
963 EL CAMINO RD
WAXAHACHIE TX 75167

Officer/Director/Trustee Two

JAMES BELL
VICE PRESIDENT
613 FERRIS AVE
WAXAHACHIE TX 75165

Officer/Director/Trustee Three

CARRIE WINDHAM
SECRETARY
4093 PR 1195
BAIRD TX 79504

Officer/Director/Trustee Four

BEN YEHUDAH ADIDALA
TREASURER
49 TIMBLERLINE DR
LEOLA PA 17540-1124

Organization’s website WWW.CHAYAH.INFO
Organization’s email MELISSARAWLINS@CHAYAH.INFO
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 Yes
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 MELISSA RAWLINS
Signature Title PRESIDENT
Signature Date 4/25/19

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