FORM 1023-EZ for CHOSEN TREASURES AT THE WELL INC

Field Data
EIN 82-3748356
Case Number EO-2018018-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN TREASURES AT THE WELL INC
Organization’s Mailing Address 709B E 119TH AVE
City TAMPA
State FL
ZIP 33612-5303
Accounting period End 12
Primary contact name NANETTE MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANETTE MORGAN
CEO/PRESIDENT
709B E 119TH AVE
TAMPA FL 33612-5303

Officer/Director/Trustee Two

LORIANA DE PAZ
DIRECTOR
709B E 119TH AVE
TAMPA FL 33612-5303

Officer/Director/Trustee Three

LUZ M KYLLONEN
DIRECTOR
709B E 119TH AVE
TAMPA FL 33612-5303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 NANETTE MORGAN
Signature Title CEO/PRESIDENT
Signature Date 1/16/18

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