FORM 1023-EZ for CHOSEN

Field Data
EIN 84-4469219
Case Number EO-2020036-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN
Organization’s Mailing Address 329 DUNN RD
City RUSTON
State LA
ZIP 71270
Accounting period End 12
Primary contact name SHALENA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHALENA JOHNSON
DIRECTOR
329 DUNN
RUSTON LA 71270

Officer/Director/Trustee Two

TASHA HEARD
OFFICER
913 SOUTH MAIN STREET
HOMER LA 71040

Officer/Director/Trustee Three

LATRICIA BARBER
OFFICER
1500 EASTLAND
RUSTON LA 71270

Organization’s website WWW.WOWIMCHOSEN.COM
Organization’s email WOWIMCHOSEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O30 - Adult, Child Matching Programs
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 No
Correctness Declaration Yes
Signature Name SHALENA JOHNSON
Signature Title DIRECTOR
Signature Date 2/3/2020

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