FORM 1023-EZ for BREAD OF LIFE CURBSIDE CAFE INC

Field Data
EIN 32-0511166
Case Number EO-2017060-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAD OF LIFE CURBSIDE CAFE INC
Organization’s Mailing Address 9032 S 77TH EAST AVENUE
City TULSA
State OK
ZIP 74133
Accounting period End 12
Primary contact name STEVE THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN NORD
DIRECTOR
9032 S 77TH E AVE
TULSA OK 74133

Officer/Director/Trustee Two

TIM CRAWFORD
DIRECTOR
6732 S 68 E AVE
TULSA OK 74133

Officer/Director/Trustee Three

DALE REAGAN
DIRECTOR
7939 S 86 E PL
TULSA OK 74133

Officer/Director/Trustee Four

PAUL NORD
DIRECTOR
9032 S 77TH E AVE
T OK 74133-6256

Officer/Director/Trustee Five

WILLIS THOMPSON
MEMBER AT LARGE
6702 E 100TH PL
T OK 74133-6256

Organization’s website
Organization’s email STEVE.THOMPSON@US.GT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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