FORM 1023-EZ for COFFEEHOUSE OF ROCKBRIDGE INC

Field Data
EIN 47-3452462
Case Number EO-2015168-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COFFEEHOUSE OF ROCKBRIDGE INC
Organization’s Mailing Address 235 SOUTH SUGAR CREEK ROAD
City LEXINGTON
State VA
ZIP 24450-6231
Accounting period End 12
Primary contact name ELAINE NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBIN RICHARDE
PRESIDENT
305 GIBBS STREET
LEXINGTON VA 24450

Officer/Director/Trustee Two

MICHELLE POINDEXTER
VICE PRESIDENT
103 SMITH STREET
LEXINGTON VA 24450

Officer/Director/Trustee Three

ALISHA WYCHE
SECRETARY
183 ALPHIN LANE
LEXINGTON VA 24450

Officer/Director/Trustee Four

DONNA BRIGHT
TREASURER
1274 TIMBER RIDGE ROAD
FAIRFIELD VA 24435

Officer/Director/Trustee Five

ELAINE NELSON
DIRECTOR
235 SOUTH SUGAR CREEK ROAD
LEXINGTON VA 24450-6231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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
Signature Title
Signature Date

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