FORM 1023-EZ for CUZOS INCORPORATED

Field Data
EIN 81-1629469
Case Number EO-2016183-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUZOS INCORPORATED
Organization’s Mailing Address 7952 TAYLOR CIRCLE
City RIVERDALE
State GA
ZIP 30274
Accounting period End 12
Primary contact name CARLOS BENIFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLOS BENIFIELD
PRESIDENT/CEO
7952 TAYLOR CIRCLE
RIVERDALE GA 30274

Officer/Director/Trustee Two

JERRY BROOKS
VICE PRESIDENT
2762 JOE JENKINS BLVD
AUSTELL GA 30106

Officer/Director/Trustee Three

LA TANYA WILLIAMS
SECRETARY
7952 TAYLOR CIRCLE
RIVERDALE GA 30274

Organization’s website
Organization’s email CUZOS8918@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 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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