FORM 1023-EZ for CROSSTOWN COFFEE CO

Field Data
EIN 47-2505976
Case Number EO-2014346-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSTOWN COFFEE CO
Organization’s Mailing Address 14432 W 139TH TER
City OLATHE
State KS
ZIP 66062
Accounting period End 12
Primary contact name RACHEL J HEIDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL HEIDRICK
DIRECTOR
14432 W 139TH TER
OLATHE KS 66062-8245

Officer/Director/Trustee Two

DEBBIE HORN
DIRECTOR
17712 W 156TH ST
OLATHE KS 66062

Officer/Director/Trustee Three

JOE WIMPEY
DIRECTOR
900 W ELIZABETH ST
OLATHE KS 66061

Organization’s website CROSSTOWNOLATHE.ORG
Organization’s email CROSSTOWNOLATHE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2014
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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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