FORM 1023-EZ for COFFEE ON THE HOUSE OUTREACH

Field Data
EIN 85-0826845
Case Number EO-2020157-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COFFEE ON THE HOUSE OUTREACH
Organization’s Mailing Address PO BOX 1248
City KEMMERER
State WY
ZIP 83101
Accounting period End 12
Primary contact name WENDY KIMBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY KIMBLE
PRESIDENT, DIRECTOR
PO BOX 1248
KEMMERER WY 83101

Officer/Director/Trustee Two

JENNIFER SHARPLES
SECRETARY, DIRECTOR
PO BOX 1248
KEMMERER WY 83101

Officer/Director/Trustee Three

KAREN BURNDT
TREASURER, DIRECTOR
PO BOX 1248
KEMMERER WY 83101

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2020
Organization Incorporation State WY
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 WENDY KIMBLE
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/3/2020

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