FORM 1023-EZ for CH34 INC

Field Data
EIN 84-3137863
Case Number EO-2019277-000650
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CH34 INC
Organization’s Mailing Address 43 PARK PL ESTATES
City ARCADIA
State FL
ZIP 34266
Accounting period End 12
Primary contact name JEFF DENTINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF DENTINGER
PRESIDENT, DIRECTOR
43 PARK PL ESTATES
ARCADIA FL 34266

Officer/Director/Trustee Two

HOLLY PERRITT
SECRETARY, DIRECTOR
26 W OAK ST APT 1
ARCADIA FL 34266

Officer/Director/Trustee Three

JADE COOPER
TREASURER, DIRECTOR
702 N JOHNSON AVE
ARCADIA FL 34266

Organization’s website WWW.CH34.US
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 JEFF DENTINGER
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/1/19

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