FORM 1023-EZ for CHILDREN AGAINST SEXUAL ABUSE CLUBINC

Field Data
EIN 82-4086785
Case Number EO-2019114-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHILDREN AGAINST SEXUAL ABUSE CLUBINC
Organization’s Mailing Address 8080 NW 96TH TERRACE UNIT 202
City TAMARAC
State FL
ZIP 33321
Accounting period End 12
Primary contact name VICTORIA BROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUBRIA RIVERS
SECRETARY
9250 SCARLETT DR SW
COVINGTON GA 30016

Officer/Director/Trustee Two

SHELLRETER OWENS
VICE PRESIDENT
610 BELMONT LANE
TAMARAC FL 33320

Officer/Director/Trustee Three

VICTORIA BROCK
PRESIDENT
8080 NW 96TH TERRACE UNIT 202
TAMARAC FL 33321

Organization’s website WWW.CASACLUBINC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 VICTORIA BROCK
Signature Title PRESIDENT
Signature Date 4/21/19

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