FORM 1023-EZ for COFFEE HOUSE RABBI INC

Field Data
EIN 83-1634193
Case Number EO-2018280-000041
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COFFEE HOUSE RABBI INC
Organization’s Mailing Address 445 DION DR
City PALM SPRINGS
State CA
ZIP 92262-6175
Accounting period End 12
Primary contact name SALLY OLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALLY OLINS
PRESIDENT / SECRETARY
445 DION DR
PALM SPRINGS CA 92262-6175

Officer/Director/Trustee Two

JERRY LEVIN
VICE PRESIDENT
445 DION DR
PALM SPRINGS CA 92262-6175

Officer/Director/Trustee Three

IRA HELF
TRESURER
445 DION DR
PALM SPRINGS CA 92262-6175

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 SALLY OLINS
Signature Title PRESIDENT / SECRETARY
Signature Date 10/3/18

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