FORM 1023-EZ for CROSSOVER ROASTERS CORPORATION

Field Data
EIN 86-1339731
Case Number EO-2021064-001653
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSOVER ROASTERS CORPORATION
Organization’s Mailing Address 2025 LAKE STREET
City ALGOMA
State WI
ZIP 54201
Accounting period End 12
Primary contact name BRAD SCHMILING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD SCHMILING
PRESIDENT/SECRETARY
519 3RD STREET
ALGOMA WI 54201

Officer/Director/Trustee Two

SHAUN SCHMILING
VICE PRESIDENT/TREASURER
519 3RD STREET
ALGOMA WI 54201

Organization’s website
Organization’s email xoverroasters@icloud.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRAD SCHMILING
Signature Title PRESIDENT/SECRETARY
Signature Date 1/12/2021

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