FORM 1023-EZ for CHAOS SERVICE INC

Field Data
EIN 26-3281039
Case Number EO-2018036-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAOS SERVICE INC
Organization’s Mailing Address 2504 SEBASTIAN DR
City GRAND BLANC
State MI
ZIP 48439
Accounting period End 12
Primary contact name GARY DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY DOYLE
PRES
2504 SEBASTIAN DR
GRAND BLANC MI 48439

Officer/Director/Trustee Two

ANTHONY MEZZANATTO
VICE PRES
14303 WOODMONT AVE
DETROIT MI 48227

Officer/Director/Trustee Three

DL SMITH
SECRETARY
5215 COLD SPRINGS LANE
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Four

DOUG NAGY
TREASURER
9185 LINDEN RD
SWARTZ CREEK MI 48473

Officer/Director/Trustee Five

ANNA CAMPBELL
TRUSTEE
30424 LEDGE CLIFF
WESTLAND MI 48185

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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 GARY DOYLE
Signature Title PRES
Signature Date 2/2/18

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