FORM 1023-EZ for BREWIN HOPE COFFEE HOUSE NFP

Field Data
EIN 84-3806109
Case Number EO-2021029-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREWIN HOPE COFFEE HOUSE NFP
Organization’s Mailing Address 38 OAK STREET
City PANA
State IL
ZIP 62557-1571
Accounting period End 12
Primary contact name WILLIAM E FARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA MATTHEWS
DIRECTOR
408 EAST FIFTH STREET
PANA IL 62557-1821

Officer/Director/Trustee Two

TIFFANY SIMS
DIRECTOR
904 E 1000 N RD
TOWER HILL IL 62571-4053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERICA MATTHEWS
Signature Title DIRECTOR
Signature Date 12/14/2020

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