FORM 1023-EZ for CAUSE FOR CHIROPRACTIC INC

Field Data
EIN 83-1086567
Case Number EO-2018211-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAUSE FOR CHIROPRACTIC INC
Organization’s Mailing Address 1102 NORTH JEFFERSON STREET
City DUBLIN
State GA
ZIP 31021
Accounting period End 12
Primary contact name JEFF STRATFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF STRATFORD
DIRECTOR, PRESIDENT
1102 NORTH JEFFERSON STREET
DUBLIN GA 31021

Officer/Director/Trustee Two

RENEE SMILEY
DIRECTOR
1102 NORTH JEFFERSON STREET
DUBLIN GA 31021

Officer/Director/Trustee Three

ELAINE WARREN
DIRECTOR
1102 NORTH JEFFERSON STREET
DUBLIN GA 31021

Officer/Director/Trustee Four

APRIL STRATFORD
SECRETARY/TREASURER
1102 NORTH JEFFERSON STREET
DUBLIN GA 31021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 JEFF STRATFORD
Signature Title PRESIDENT
Signature Date 7/27/18

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