FORM 1023-EZ for TABERNERO BISTRO INC

Field Data
EIN 81-1196969
Case Number EO-2016035-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TABERNERO BISTRO INC
Organization’s Mailing Address 94000 OVERSEAS HIGHWAY
City TAVERNIER
State FL
ZIP 33070-3011
Accounting period End 12
Primary contact name JAY FLEISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONATHAN SIMPSON
BOARD MEMBER
94000 OVERSEAS HIGHWAY
TAVERNIER FL 33070-3011

Officer/Director/Trustee Two

JEREMY POWELL
BOARD MEMBER
94000 OVERSEAS HIGHWAY
TAVERNIER FL 33070-3011

Officer/Director/Trustee Three

MICHEL BITTAN
BOARD MEMBER
94000 OVERSEAS HIGHWAY
TAVERNIER FL 33070-3011

Officer/Director/Trustee Four

GEORGE MACROPULOS
BOARD MEMBER
94000 OVERSEAS HIGHWAY
TAVERNIER FL 33070-3011

Officer/Director/Trustee Five

JON SIMPSON
BOARD MEMBER
94000 OVERSEAS HIGHWAY
TAVERNIER FL 33070-3011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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