FORM 1023-EZ for CAUSEMATCH INC

Field Data
EIN 47-3305012
Case Number EO-2015106-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAUSEMATCH INC
Organization’s Mailing Address PO BOX 923812
City NORCROSS
State GA
ZIP 30092
Accounting period End 12
Primary contact name SUSAN SHEPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN SHEPARD
PRESIDENT, DIRECTOR
PO BOX 923812
NORCROSS GA 30092

Officer/Director/Trustee Two

CAROLYN RAND
SECRETARY, DIRECTOR
PO BOX 923812
NORCROSS GA 30092

Officer/Director/Trustee Three

MARTIN ELMORE
TREASURER, DIRECTOR
PO BOX 923812
NORCROSS GA 30092

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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
Signature Title
Signature Date

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