FORM 1023-EZ for CHOOSE A CAUSE

Field Data
EIN 81-3788097
Case Number EO-2017172-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHOOSE A CAUSE
Organization’s Mailing Address 12201 CONRAD ROAD
City AUSTIN
State TX
ZIP 78727-6416
Accounting period End 12
Primary contact name KELLY HENLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY HENLEY
DIRECTOR
12201 CONRAD ROAD
AUSTIN TX 78727-6416

Officer/Director/Trustee Two

DAVID BRANDT
DIRECTOR
7201 BONIFACE LANE
AUSTIN TX 78729-7782

Officer/Director/Trustee Three

DEBORAH FOX
DIRECTOR
11900 MUSTANG CHASE
AUSTIN TX 78727-6628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 Yes
Signature Name
Signature Title
Signature Date

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