FORM 1023-EZ for CHMS BRAVO INC

Field Data
EIN 27-0835178
Case Number EO-2017160-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHMS BRAVO INC
Organization’s Mailing Address 9500 COMMUNITY HOUSE RD
City CHARLOTTE
State NC
ZIP 28227-1829
Accounting period End 6
Primary contact name DAVID SHIVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSHASHINI VARDIREDDY
PRESIDENT
9500 COMMUNITY HOUSE RD
CHARLOTTE NC 28227-1829

Officer/Director/Trustee Two

FRANCES BYROM
VICE-PRESIDENT
9500 COMMUNITY HOUSE RD
CHARLOTTE NC 28227-1829

Officer/Director/Trustee Three

MICHELE BROWN
TREASURER
9500 COMMUNITY HOUSE RD
CHARLOTTE NC 28227-1829

Officer/Director/Trustee Four

DAVID SHIVES
DIRECTOR
9500 COMMUNITY HOUSE RD
CHARLOTTE NC 28227-1829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2009
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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