FORM 1023-EZ for CHRISTENSEN INSTITUTE FOR COMMUNITYHEALTH AND EMPOWERMENT INC

Field Data
EIN 66-0878971
Case Number EO-2018225-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTENSEN INSTITUTE FOR COMMUNITYHEALTH AND EMPOWERMENT INC
Organization’s Mailing Address 6301 QUESTE VERDE
City CHRISTIANSTED
State VI
ZIP 820
Accounting period End 12
Primary contact name ABBELLE BAKR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA CHRISTENSEN
PRESIDENT
630
CHRISTIANSTED VI 820

Officer/Director/Trustee Two

PETER ABRAHAMS
VICE PRESIDENT
19 TULIPAN WELCOME
CHRISTIANSTED VI 820

Officer/Director/Trustee Three

SHANIECE CHARLEMAGNE
TREASURER
57Y-9 SMITH BAY
ST THOMAS VI 802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/17
Organization Incorporation State VI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
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 DONNA CHRISTENSEN
Signature Title PRESIDENT
Signature Date 8/9/18

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