FORM 1023-EZ for REBECCAS CAFE

Field Data
EIN 30-0941471
Case Number EO-2016201-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBECCAS CAFE
Organization’s Mailing Address 400 DONNIE SIMMONS WAY
City STATESBORO
State GA
ZIP 30458
Accounting period End 12
Primary contact name ANN HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTIE BEBLOWSKI
PRESIDENT
6368 AKINS POND RD
STATESBORO GA 30458

Officer/Director/Trustee Two

JIM BASTARACHE
VICE PRESIDENT
9036 OAKFIELD DR
STATESBORO GA 30461

Officer/Director/Trustee Three

LAURA CAMPBELL
SECRETARY
6 PRESTON DRIVE
STATESBORO GA 30458

Officer/Director/Trustee Four

ANN HENDERSON
TREASURER
110 LAKESIDE COURT
STATESBORO GA 30458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K34 - Congregate Meals
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

Recently Saved Organizations

Click on the save icon from a search results or organization page.