FORM 1023-EZ for BE A COFFEE BEAN FOUNDATION

Field Data
EIN 85-1345888
Case Number EO-2020282-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE A COFFEE BEAN FOUNDATION
Organization’s Mailing Address 716 NORTH 31ST STREET
City NEDERLAND
State TX
ZIP 77627
Accounting period End 12
Primary contact name DAMON WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMON WEST
PRESIDENT/DIRECTOR
716 NORTH 31ST STREET
NEDERLAND TX 77627

Officer/Director/Trustee Two

CHRISTOPHER KIRCHMEN
VICE-PRESIDENT/TREASURER/DIRECTOR
2355 HARRISON
BEAUMONT TX 77702

Officer/Director/Trustee Three

GENIE WEST
VICE-PRESIDENT/SECRETARY/DIRECTOR
3168 FELLSWOOD LANE
PORT NECHES TX 77651

Officer/Director/Trustee Four

MARY ANN REED
DIRECTOR
3601 ROANOKE
PORT ARTHUR TX 77642

Officer/Director/Trustee Five

WILLIAM SEELYE
DIRECTOR
3024 MADISON
NEDERLAND TX 77627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAMON WEST
Signature Title PRESIDENT/DIRECTOR
Signature Date 10/6/2020

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