FORM 1023-EZ for CHRYSALIS SERVICES INCORPORATED
| Field | Data |
|---|---|
| EIN | 84-2384942 |
| Case Number | EO-2019214-000188 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRYSALIS SERVICES INCORPORATED |
| Organization’s Mailing Address | 1761 HANSEN AVE |
| City | COLUMBUS |
| State | OH |
| ZIP | 43224-2863 |
| Accounting period End | 6 |
| Primary contact name | DAVID SCHRAPPE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID SCHRAPPE
EXECUTIVE DIRECTOR
1761 HANSEN AVE
COLUMBUS OH 43224-2863
Officer/Director/Trustee Two
MARK LONDEREE
DIRECTOR
1083 FIRTH AVE
WORTHINGTON OH 43085-2913
Officer/Director/Trustee Three
SARAH FOSTER
DIRECTOR
1420 S 5TH ST
COLUMBUS OH 43207-1116
Officer/Director/Trustee Four
JENNY POPE
DIRECTOR
6744 LANCASTER KIRKERSVILLE RD NW
BALTIMORE OH 43105-9658
| Organization’s website | |
|---|---|
| Organization’s email | CHRYSERVINC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/14/19 |
| Organization Incorporation State | OH |
| 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: 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 | Yes |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DAVID SCHRAPPE |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 7/31/19 |
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