FORM 1023-EZ for FIDDLERS DREAM COFFEE HOUSE

Field Data
EIN 74-2489950
Case Number EO-2014220-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIDDLERS DREAM COFFEE HOUSE
Organization’s Mailing Address PO BOX 45199
City PHOENIX
State AZ
ZIP 85064-5199
Accounting period End 12
Primary contact name NIA MAXWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LARRY HILL
PRESIDENT
10718 W CANTERBURY DR
SUN CITY AZ 85351

Officer/Director/Trustee Two

RICHARD BOGEN
VICE PRESIDENT
8025 N 11TH PL
PHOENIX AZ 85020

Officer/Director/Trustee Three

MARGO ALLERTON
SECRETARY
1450 E DOWNING ST
MESA AZ 85203

Officer/Director/Trustee Four

NIA MAXWELL
TREASURER
10718 W CANTERBURY DRIVE
SUN CITY AZ 85351

Organization’s website HTTP://WWW.FIDDLERSDREAM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/1987
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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