FORM 1023-EZ for COUZENS HOUSE INC

Field Data
EIN 87-1495496
Case Number EO-2021235-000547
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUZENS HOUSE INC
Organization’s Mailing Address 8726 S SEPULVEDA BLVD SUITE D630
City LOS ANGELES
State CA
ZIP 90045-4082
Accounting period End 12
Primary contact name DIANNE THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH RAWLINS
CHAIRMAN OF THE BOARD
8726 S SEPULVEDA BLVD
LOS ANGELES CA 90045-4082

Organization’s website WWW.COUZENSHOUSE.COM
Organization’s email COUZENSHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 6/26/2021
Organization Incorporation State CA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
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 No
Signature Name DEBORAH RAWLINS
Signature Title CHAIRMAN OF THE BOARD
Signature Date 8/20/2021

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