FORM 1023-EZ for COOK HEALTHY EAT FRESH

Field Data
EIN 82-5290829
Case Number EO-2018116-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COOK HEALTHY EAT FRESH
Organization’s Mailing Address 307 KARL LINN DRIVE APT 431
City N CHESTERFIELD
State VA
ZIP 23225
Accounting period End 12
Primary contact name KIMBERLY VANKLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY VANKLINE
PRESIDENT
307 KARL LINN DRIVE APT 431
N CHESTERFIELD VA 23225

Officer/Director/Trustee Two

HENRY DUDLEY
VICE PRESIDENT
307 KARL LINN DRIVE APT 431
N CHESTERFIELD VA 23225

Officer/Director/Trustee Three

RHONDA MOORE
TREASURER
545 NEPTUNE AVENUE 19B
BROOKLYN NY 11224

Organization’s website
Organization’s email CHEFVANKLINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 KIMBERLY VANKLINE
Signature Title PRESIDENT
Signature Date 4/24/18

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