FORM 1023-EZ for AMERICAN DREAM ON CAFFEINE COMPANY

Field Data
EIN 85-3131740
Case Number EO-2021083-000661
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN DREAM ON CAFFEINE COMPANY
Organization’s Mailing Address 4900 SHATTUCK AVENUE - UNIT 22954
City OAKLAND
State CA
ZIP 94609-2031
Accounting period End 12
Primary contact name RAPHAELLE BUENAFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAWNY ANN DE LA PENA
PRESIDENT
4900 SHATTUCK AVENUE - UNIT 22954
OAKLAND CA 94609-2031

Officer/Director/Trustee Two

JENNIFER ELLIS
VICE PRESIDENT
4900 SHATTUCK AVENUE - UNIT 22954
OAKLAND CA 94609-2031

Officer/Director/Trustee Three

RAPHAELLE BUENAFE
SECRETARY/TREASURER
4900 SHATTUCK AVENUE - UNIT 22954
OAKLAND CA 94609-2031

Officer/Director/Trustee Four

ADRIAN DELATORRE
DIRECTOR
4900 SHATTUCK AVENUE - UNIT 22954
OAKLAND CA 94609-2031

Officer/Director/Trustee Five

NADIA ALMALEH
DIRECTOR
4900 SHATTUCK AVENUE - UNIT 22954
OAKLAND CA 94609-2031

Organization’s website HTTPS://WWW.NOCREAMNOSUGAR.ORG
Organization’s email AMERICANDREAMONCAFFEINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 TAWNY ANN DE LA PENA
Signature Title PRESIDENT
Signature Date 11/15/2020

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