FORM 1023-EZ for CHOSEN VESSEL - REWRITING MY STORY

Field Data
EIN 84-4438763
Case Number EO-2020049-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN VESSEL - REWRITING MY STORY
Organization’s Mailing Address P O BOX 930609
City NORCROSS
State GA
ZIP 30003
Accounting period End 12
Primary contact name MARY K COUGHLIN EA NTPI CAA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA GOSS
PRESIDENT
6384 WEDGEWOOD TRACE
TUCKER GA 30084

Officer/Director/Trustee Two

DERRICK GOSS
SECRETARY
6384 WEDGEWOOD TRACE
TUCKER GA 30084

Officer/Director/Trustee Three

JOYCE SIPLIN
TREASURER
668 HOPSON RD
MONTICELLO FL 32344

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2019
Organization Incorporation State GA
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: 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 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 ANGELA GOSS
Signature Title PRESIDENT
Signature Date 2/13/2020

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