FORM 1023-EZ for CHADS CAFE 3 COUNT KEOWNS INC

Field Data
EIN 82-5388976
Case Number EO-2018242-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHADS CAFE 3 COUNT KEOWNS INC
Organization’s Mailing Address 116 MICHAEL LN
City SHARPSVILLE
State IN
ZIP 46068
Accounting period End 12
Primary contact name LISA KEOWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA KEOWNS
PRESIDENT
116 MICHAEL LN
SHARPSVILLE IN 46068

Officer/Director/Trustee Two

JAMES KEOWNS
VICE PRESIDENT
116 MICHAEL LN
SHARPSVILLE IN 46068

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, 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 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 LISA KEOWNS
Signature Title PRESIDENT
Signature Date 8/28/18

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