FORM 1023-EZ for CHOICELINE

Field Data
EIN 81-4764795
Case Number EO-2016362-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHOICELINE
Organization’s Mailing Address 118 WEST STREETSBORO ST - 88
City HUDSON
State OH
ZIP 44236
Accounting period End 12
Primary contact name MONICA J
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

P-A-M JONES W
DIRECTOR
118 WEST STREETSBORO ST 88
HUDSON OH 44236

Officer/Director/Trustee Two

LESTER W
OFFICER
118 WEST STREETSBORO ST 88
HUDSON OH 44236

Officer/Director/Trustee Three

SANDRA WATKINS
OFFICER
118 WEST STREETSBORO ST 88
HUDSON OH 44236

Organization’s website WWW.CHOICELINE.ME
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
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
Signature Title
Signature Date

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