FORM 1023-EZ for THE COFFEE HOUSE - MILWAUKEE

Field Data
EIN 83-2564377
Case Number EO-2019102-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COFFEE HOUSE - MILWAUKEE
Organization’s Mailing Address PO BOX 11201
City MILWAUKEE
State WI
ZIP 53211
Accounting period End 12
Primary contact name ANDREA JEHLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS IVERSON
PRESIDENT AND DIRECTOR
6259 S SWIFT AVE
CUDAHY WI 53110-3207

Officer/Director/Trustee Two

ANDREA JEHLY
TREASURER AND DIRECTOR
4000 S KINGAN AVE APT 205
SAINT FRANCIS WI 53235-4707

Officer/Director/Trustee Three

DAWN WICKER
SECRETARY AND DIRECTOR
227 N 62ND ST
MILWAUKEE WI 53213-4128

Officer/Director/Trustee Four

JOHN WEBBER
VICE PRESIDENT AND DIRECTOR
6453 W SOUTHVIEW DR
FRANKLIN WI 53132

Officer/Director/Trustee Five

PAUL SMITH
DIRECTOR
2877 S 49TH ST
MILWAUKEE WI 53219-3316

Organization’s website WWW.THE-COFFEE-HOUSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State WI
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA JEHLY
Signature Title TREASURER AND DIRECTOR
Signature Date 4/10/19

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