FORM 1023-EZ for CHAKRA CHI HEALTH SERVICES INC
| Field | Data |
|---|---|
| EIN | 81-0772260 |
| Case Number | EO-2016047-000272 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHAKRA CHI HEALTH SERVICES INC |
| Organization’s Mailing Address | 11972 ORANGE BLOSSOM DRIVE |
| City | SEMINOLE |
| State | FL |
| ZIP | 33772 |
| Accounting period End | 12 |
| Primary contact name | ASHEN KING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
SUSANNE P CUBBERLEY
PRESIDENT
11972 ORANGE BLOSSOM DRIVE
SEMINOLE FL 33772
Officer/Director/Trustee Two
CONNIE MUSTIPHER
VICE PRESIDENT
13602 120TH LANE NORTH
LARGO FL 33778
Officer/Director/Trustee Three
SANUSIE SACCOH
TREASURER
1507 MEADOW DALE DRIVE
CLEARWATER FL 33764
Officer/Director/Trustee Four
LAURA KELLER
SECRETARY
3791 67TH AVENUE
PINELLAS PARK FL 33781
Officer/Director/Trustee Five
JOHN WATKINS
OFFICER
1235 SOUTH MISSOURI AVENUE
CLEARWATER FL 33756
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/15/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E50 - Rehabilitative Medical Services |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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