FORM 1023-EZ for THE GREEN DOOR CAFE CORP

Field Data
EIN 85-2684962
Case Number EO-2021125-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GREEN DOOR CAFE CORP
Organization’s Mailing Address 936 S OLIVE ST
City LOS ANGELES
State CA
ZIP 90015
Accounting period End 12
Primary contact name ADRIANA CASTELLANOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANA CASTELLANOS
CEO
11735 QUARTZ AVE
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Two

COLLEEN CAPISTRANO
CHIEF MARKETING OFFICER
6426 E WARDLOW RD
LONG BEACH CA 90808

Officer/Director/Trustee Three

SHANARRON THOMAS
SECRETARY
2335 E COLORADO BLVD STE 115
PASADENA CA 91107

Organization’s website WWW.THEGREENDOORCAFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
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 ADRIANA CASTELLANOS
Signature Title CEO
Signature Date 5/3/2021

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