FORM 1023-EZ for THE TAVERN COFFEE HOUSE INC

Field Data
EIN 84-2004511
Case Number EO-2020188-000624
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TAVERN COFFEE HOUSE INC
Organization’s Mailing Address 2636 E 115TH ST
City CLEVELAND
State OH
ZIP 44104
Accounting period End 12
Primary contact name ROBERT WILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WILLARD
PRESIDENT
2636 E 115TH ST
CLEVELAND OH 44104

Officer/Director/Trustee Two

JUDITH WILLARD
SECRETARY
2636 E 115TH ST
CLEVELAND OH 44104

Officer/Director/Trustee Three

KENNETH MCQUILLER
TREASURER
11621 BUCKINGHAM AVE
CLEVELAND OH 44120

Officer/Director/Trustee Four

NATHANAEL WILLARD
DIRECTOR
2636 E 115TH ST
CLEVELAND OH 44104

Organization’s website THETAVERNCOFFEE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ROBERT WILLARD
Signature Title PRESIDENT
Signature Date 7/2/2020

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