FORM 1023-EZ for COSSA FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-2473998 |
| Case Number | EO-2019074-000707 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COSSA FOUNDATION |
| Organization’s Mailing Address | PO BOX 1795 |
| City | BEND |
| State | OR |
| ZIP | 97709 |
| Accounting period End | 12 |
| Primary contact name | THOMAS J SAYEG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EDWARD HAUSWALD
PRESIDENT/DIRECTOR
63114 NW VIA CAMBRIA
BEND OR 97703
Officer/Director/Trustee Two
KURT SOLOMON
VICE PRES/SECRETARY/DIRECTOR
22406 RICKARD ROAD
BEND OR 97701
Officer/Director/Trustee Three
THOMAS ALLEN
TREASURER/DIRECTOR
2040 NE ALTURA DRIVE
BEND OR 97702
Officer/Director/Trustee Four
WILLIAM HERRICK
DIRECTOR
19372 SEATON LOOP
BEND OR 97702
Officer/Director/Trustee Five
GARY LEWIS
DIRECTOR
PO BOX 1364
BEND OR 97709
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/7/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M40 - Safety Education |
| Organization’s purpose | Charitable: Yes 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 | EDWARD HAUSWALD |
| Signature Title | PRESIDENT/DIRECTOR |
| Signature Date | 3/13/19 |
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