FORM 1023-EZ for B3 COFFEE

Field Data
EIN 84-4139023
Case Number EO-2020013-000545
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name B3 COFFEE
Organization’s Mailing Address 304 GLENDALE DRIVE
City CHAPEL HILL
State NC
ZIP 27514
Accounting period End 12
Primary contact name JACKLYN GOOGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKLYN GOOGINS
CHAIR
304 GLENDALE DRIVE
CHAPEL HILL NC 27514

Officer/Director/Trustee Two

HANNAH STEEN
VICE CHAIR
17 COBB TERRACE
CHAPEL HILL NC 27514

Officer/Director/Trustee Three

CAROLINE SHUBEL
SECRETARY
608 HUNTER STREET
ELIZABETH CITY NC 27909

Officer/Director/Trustee Four

ADELA VAN NAME
TREASURER
207 GARDNER CIRCLE
CHAPEL HILL NC 27514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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 JACKLYN GOOGINS
Signature Title CHAIR
Signature Date 1/11/2020

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