FORM 1023-EZ for CHOOSE LIFE RALEIGH

Field Data
EIN 86-1713336
Case Number EO-2021081-001064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOOSE LIFE RALEIGH
Organization’s Mailing Address PO BOX 474
City KNIGHTDALE
State NC
ZIP 27545
Accounting period End 12
Primary contact name AMANDA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA DAVIS
EXECUTIVE DIRECTOR
3209 GRESHAM LAKE RD SUITE 136
RALEIGH NC 27615

Officer/Director/Trustee Two

TIWANDA MASINDE
CHAIRMAN OF THE BOARD
3209 GRESHAM LAKE RD SUITE 136
RALEIGH NC 27615

Organization’s website WWW.CHOOSELIFERALEIGH.ORG
Organization’s email AMANDADAVIS@CHOOSELIFERALEIGH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 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 AMANDA DAVIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/27/2021

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