FORM 1023-EZ for CHOSEN TO SERVE INC

Field Data
EIN 84-3938368
Case Number EO-2020072-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN TO SERVE INC
Organization’s Mailing Address 6676 LANA LN
City JACKSONVILLE
State FL
ZIP 32244
Accounting period End 12
Primary contact name LAMAR STAPLETON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAMAR STAPLETON
PRESIDENT
6676 LANA LN
JACKSONVILLE FL 32244

Officer/Director/Trustee Two

JANIE STAPLETON
SECRETARY
6676 LANA LN
JACKSONVILLE FL 32244

Officer/Director/Trustee Three

LEON STAPLETON
TREASURER
6676 LANA LN
JACKSONVILLE FL 32244

Officer/Director/Trustee Four

KEVIN HESTER
BOARD MEMBER
6676 LANA LN
JACKSONVILLE FL 32244

Officer/Director/Trustee Five

DETRICK STAPLETON
BOARD MEMBER
6676 LANA LN
JACKSONVILLE FL 32244

Organization’s website
Organization’s email STAPLETONSTAFFING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 LAMAR STAPLETON
Signature Title PRESIDENT
Signature Date 3/10/2020

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