FORM 1023-EZ for THE CHAMBER ROOM EXPERIENCE INC

Field Data
EIN 46-5749405
Case Number EO-2016258-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHAMBER ROOM EXPERIENCE INC
Organization’s Mailing Address 2195 PACE STREET SUITE F
City COVINGTON
State GA
ZIP 30014
Accounting period End 12
Primary contact name NABIYAH YEHUDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NABIYAH YEHUDA
PRESIDENT
2195 PACE STREET F
COVINGTON GA 30014

Officer/Director/Trustee Two

HATTIE DEVONE SHAW
VICE PRESIDENT
11112 STAINSBY COURT
BRISTOW VA 20136

Officer/Director/Trustee Three

CLARENCE FOSTER
TREASURER
83 DARTMOUTH STREET
VALLEY STREAM NY 11581

Officer/Director/Trustee Four

EVITA MCMULLEN
SECRETARY
3455 PEACHTREE INDUSTRIAL BLVD 275
DULUTH GA 30096

Organization’s website HTTP://THOUGHTSFROMTHETHRONE.VPWEB.COM
Organization’s email THECHAMBERROOMEXP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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