FORM 1023-EZ for COCOA FOUNDATION

Field Data
EIN 83-2205661
Case Number EO-2018309-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COCOA FOUNDATION
Organization’s Mailing Address 235 PARK AVE S 9TH FL
City NEW YORK
State NY
ZIP 10003
Accounting period End 12
Primary contact name SHAWN THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WOODRUFF
PRESIDENT/TREASURER/DIRECTOR
829 27TH AVE
OAKLAND CA 94601-1413

Officer/Director/Trustee Two

RACHELLE CAMPBELL
SECRETARY/DIRECTOR
2601 GLENWOOD DR
SCOTTS VALLEY CA 95066-2631

Officer/Director/Trustee Three

THOMAS CUSSINS
DIRECTOR
960 KEELER AVE
BERKELEY CA 94708-9441

Officer/Director/Trustee Four

TOMMY SULIMAN
DIRECTOR
2601 GLENWOOD DR
SCOTTS VALLEY CA 95066-2631

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - 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: Yes
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 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 THOMAS CUSSINS
Signature Title DIRECTOR
Signature Date 11/2/18

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