FORM 1023-EZ for PUBLIC COFFEE HOUSE INC

Field Data
EIN 82-1141574
Case Number EO-2017186-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUBLIC COFFEE HOUSE INC
Organization’s Mailing Address 33023 ROAD 222
City NORTH FORK
State CA
ZIP 93643
Accounting period End 12
Primary contact name SAMUEL TALLMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KORY NUNEZ
PRESIDENT
35823 HIGHLAND DRIVE EAST
WISHON CA 93669

Officer/Director/Trustee Two

SAMUEL TALLMON
SECRETARY
32153 COUGAR SPRINGS TRAIL
NORTH FORK CA 93643

Officer/Director/Trustee Three

NATHAN CHING
TREASURER
33023 ROAD 222
NORTH FORK CA 93643

Officer/Director/Trustee Four

DOUG WALTNER
BOARD MEMBER
34164 RD 221
WISHON CA 93669

Organization’s website
Organization’s email SAMTALLMON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State CA
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: No
Educational: No
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

Recently Saved Organizations

Click on the save icon from a search results or organization page.