FORM 1023-EZ for THE OASIS COFFEE SHOP INC

Field Data
EIN 82-2237900
Case Number EO-2017215-000039
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OASIS COFFEE SHOP INC
Organization’s Mailing Address 1504 MULBERRY ST
City TIPTON
State IA
ZIP 52772
Accounting period End 6
Primary contact name DIANA GILBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA GILBERT
PRESIDENT
1504 MULBERRY ST
TIPTON IA 52772

Officer/Director/Trustee Two

BETTY HEPKER
TREASURER
523 CEDAR ST
TIPTON IA 52772

Officer/Director/Trustee Three

NEILL GILBERT
SECRETARY
1504 MULBERRY ST
TIPTON IA 52772

Officer/Director/Trustee Four

TERESA HORTON
DIRECTOR
2257 DILLONS FURROW
SOLON IA 52333

Officer/Director/Trustee Five

BETH WARTICK
DIRECTOR
120 W 7TH ST
TIPTON IA 52772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 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
Signature Title
Signature Date

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