FORM 1023-EZ for CHOOSE YOURSELF

Field Data
EIN 82-2962506
Case Number EO-2021091-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOOSE YOURSELF
Organization’s Mailing Address 720 FORT HILL RD
City GORHAM
State ME
ZIP 04038
Accounting period End 12
Primary contact name JUDICAELLE IRAKOZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDICAELLE IRAKOZE
PRESIDENT AND EXECUTIVE DIRECTOR
720 FORT HILL RD
GORHAM ME 04038

Officer/Director/Trustee Two

AMANDA UHLE
TREASURER
PO BOX 8368
ANN ARBOR MI 48107

Officer/Director/Trustee Three

CARLA IRAKOZE
BOARD MEMBER
65 GRANT STREEY
PORTLAND ME 04101

Officer/Director/Trustee Four

LEX SCROEDER
BOARD MEMBER
SACO ST
SACO ME 04072

Officer/Director/Trustee Five

LYDIA KANYAMBO
BOARD MEMBER
C AND K LOOP 4
EAST WATERBORO ME 04030

Organization’s website
Organization’s email judicaelle@chooseyourself.website
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P83 - Senior Centers
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 Yes
Donation of funds Yes
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 JUDICAELLE IRAKOZE
Signature Title PRESIDENT AND EXECUTIVE DIRECTOR
Signature Date 2/19/2021

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