FORM 1023-EZ for COFFEE HOUSE FILMS INC

Field Data
EIN 81-4795477
Case Number EO-2018005-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COFFEE HOUSE FILMS INC
Organization’s Mailing Address 3430 W PARKER AVE STE 1
City CHICAGO
State IL
ZIP 60647
Accounting period End 3
Primary contact name CHARLES R LINDSAY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MODAK-TRURAN
PRESIDENT
761 RICE ROAD APT 819
RIDGELAND MS 39157

Officer/Director/Trustee Two

WARD EMLING
BOARD MEMBER
704 EAST DEWEY CAMP DRIVE
FLORENCE MS 39073

Officer/Director/Trustee Three

ANN HERLIHY
BOARD MEMBER
3711 KINGS HIGHWAY
JACKSON MS 39216

Officer/Director/Trustee Four

FERRELL TADLOCK
BOARD MEMBER
1608 ST ANN STREET
JACKSON MS 39202

Officer/Director/Trustee Five

MICHAEL MODAK-TRURAN
BOARD MEMBER
3430 W PARKER AVE STE 1
CHICAGO IL 60647

Organization’s website COFFEEHOUSEFILMS.ORG
Organization’s email MMT0707@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/16
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 MICHAEL MODAK-TRURAN
Signature Title BOARD MEMBER
Signature Date 1/3/18

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