FORM 1023-EZ for BREWHAUS BAKERY CO

Field Data
EIN 47-1534402
Case Number EO-2014280-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREWHAUS BAKERY CO
Organization’s Mailing Address 1254 FAGINS RUN ROAD
City NEW RICHMOND
State OH
ZIP 45157-9110
Accounting period End 12
Primary contact name LISA GRAHAM MSW LSW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA GRAHAM
DIRECTOR
1254 FAGINS RUN ROAD
NEW RICHMOND OH 45157-9110

Officer/Director/Trustee Two

TRICIA BUCHERT
TRUSTEE
3812 POCAHONTAS AVE
CINCINNATI OH 45227

Officer/Director/Trustee Three

JIM LEROY
TRUSTEE
7094 TREERIDGE DR
CINCINNATI OH 45245

Officer/Director/Trustee Four

ELIZABETH MORAN
TRUSTEE
4231 GRISSOM DR
BATAVIA OH 45103

Officer/Director/Trustee Five

LARRY GRAHAM
TRUSTEE
1254 FAGINS RUN ROAD
NEW RICHMOND OH 45157

Organization’s website WWW.BREWHAUSDOGBONES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
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
Signature Title
Signature Date

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