FORM 1023-EZ for COLD RIVER COFFEE CO

Field Data
EIN 83-1923877
Case Number EO-2019063-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLD RIVER COFFEE CO
Organization’s Mailing Address 2605 COX DISTRICT ROAD
City WOODSTOCK
State VT
ZIP 5091
Accounting period End 12
Primary contact name NATHANIEL MELOON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATE MELOON
DIRECTOR/PRESIDENT
2605 COX DISTRICT ROAD
WOODSTOCK VT 5091

Officer/Director/Trustee Two

EMILY MELOON
DIRECTOR/CHAIRWOMAN
2605 COX DISTRICT ROAD
WOODSTOCK VT 5091

Officer/Director/Trustee Three

STEPHANIE & BOB LIVOLSI
DIRECTOR/MARKETING
36 HAVERHILL RD APT 4201
AMESBURY MA 1913

Officer/Director/Trustee Four

ROBERT WEIDMAN
DIRECTOR/PROGRAM MANAGER
204 REIGERTS LANE
ANNVILLE PA 17003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 NATE MELOON
Signature Title DIRECTOR/PRESIDENT
Signature Date 2/27/19

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