FORM 1023-EZ for CHAIR BOUNDLESS SELF DEFENSE INC

Field Data
EIN 85-2080789
Case Number EO-2020268-000535
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAIR BOUNDLESS SELF DEFENSE INC
Organization’s Mailing Address 44245 TERWILLIGER RD
City ANZA
State CA
ZIP 92539
Accounting period End 12
Primary contact name MICHAEL PATKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PATKE
PRESIDENT
44245 TERWILLIGER RD
ANZA CA 92539-9405

Officer/Director/Trustee Two

LIONEL BALCOM
TREASURER
PO BOX 611
AGUANGA CA 92536-0611

Officer/Director/Trustee Three

JERRY EGGERING
SECRETARY
PO BOX 391496
ANZA CA 92539-1421

Officer/Director/Trustee Four

KIMBERLEE PATKE
DIRECTOR
44245 TERWILLIGER RD
ANZA CA 92539-9405

Organization’s website HTTPS://WWW.FACEBOOK.COM/CHAIRBOUNDSELFDEFENSE/
Organization’s email MIKEPATKE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 MICHAEL PATKE
Signature Title PRESIDENT
Signature Date 9/22/2020

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