FORM 1023-EZ for OAKESDALE COFFEE HOUSE

Field Data
EIN 46-1443107
Case Number EO-2015036-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OAKESDALE COFFEE HOUSE
Organization’s Mailing Address 104 W STEPTOE AVE
City OAKESDALE
State WA
ZIP 99158
Accounting period End 12
Primary contact name DAVID L HOOKS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID HOOKS
PRESIDENT/GENERAL MANAGER
102 W PEARL
OAKESDALE WA 99158-0212

Officer/Director/Trustee Two

NANCY HATHAWAY
VICE PRESIDENT
504 N 7TH ST
GARFIELD WA 99130-0394

Officer/Director/Trustee Three

PIA HOOKS
SECRETARY/ TREASURER
102 W PEARL
OAKESDALE WA 99158-0212

Officer/Director/Trustee Four

EFREM ENSLEY
ASSISTANT MANAGER
803 W MCCOY ST
OAKESDALE WA 99158-0002

Organization’s website
Organization’s email OAKESDALECOFFEE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2012
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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