FORM 1023-EZ for 4 A CAUSE THRIFT SHOP

Field Data
EIN 86-1686318
Case Number EO-2021207-000504
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4 A CAUSE THRIFT SHOP
Organization’s Mailing Address 841 W STEWART AVE SUITE 6
City MEDFORD
State OR
ZIP 97501
Accounting period End 12
Primary contact name TANCI VANCAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANCI VANCAMP
DIRECTOR PRESIDENT
1722 LOUISE AVE
MEDFORD OR 97501

Officer/Director/Trustee Two

DAWN BLANCHETTE
TREASURER
860 ASPEN STREET
MEDFORD OR 97501

Officer/Director/Trustee Three

RANDA LINTHWAITE
SECRETARY
2413 WINDERMERE DRIVE
MEDFORD OR 97504

Organization’s website 4ACAUSETHRIFTSHOP.COM
Organization’s email 4ACAUSETHRIFTSHOP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 TANCI VANCAMP
Signature Title DIRECTOR PRESIDENT
Signature Date 7/23/2021

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