FORM 1023-EZ for COSTUMERS WITH A CAUSE INC

Field Data
EIN 81-5266784
Case Number EO-2018043-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COSTUMERS WITH A CAUSE INC
Organization’s Mailing Address P O BOX 982
City VALRICO
State FL
ZIP 33595-982
Accounting period End 12
Primary contact name SCOTT WHIPPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WHIPPLE
PRESIDENT DIRECTOR
P O BOX 982
VALRICO FL 33595-982

Officer/Director/Trustee Two

CHAD TANGO
TREASURER DIRECTOR
P O BOX 982
VALRICO FL 33595-982

Officer/Director/Trustee Three

JENNIFER WHIPPLE
VICE PRESIDENT DIRECTOR
P O BOX 982
VALRICO FL 33595-982

Officer/Director/Trustee Four

CHRYSTINE SHELTON
SECRETARY DIRECTOR
P O BOX 982
VALRICO FL 33595-982

Officer/Director/Trustee Five

DAVID PURKEY
DIRECTOR
P O BOX 982
VALRICO FL 33595-982

Organization’s website COSTUMERSWITHACAUSE.ORG
Organization’s email COSTUMERSWITHACAUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/17
Organization Incorporation State FL
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 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 DAVID PURKEY
Signature Title DIRECTOR
Signature Date 2/10/18

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