FORM 1023-EZ for MERIDEN FARMERS MARKET INC

Field Data
EIN 37-1874436
Case Number EO-2018018-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERIDEN FARMERS MARKET INC
Organization’s Mailing Address 200 RESEARCH PARKWAY
City MERIDEN
State CT
ZIP 6450
Accounting period End 4
Primary contact name EDWARD PECZYNSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ROHDE
CHAIR, DIRECTOR
30 TUNXIS CIRCLE
MERIDEN CT 6450

Officer/Director/Trustee Two

PAM FIELDS
VICE CHAIR, DIRECTOR
18 GRACE COURT
MERIDEN CT 6450

Officer/Director/Trustee Three

EDWARD PECZYNSKI
TREASURER, DIRECTOR
28 BRIAN COURT
MERIDEN CT 6450

Officer/Director/Trustee Four

MARK KOSNOFF
SECRETARY, DIRECTOR
57 STONYCREST DRIVE
MERIDEN CT 6450

Officer/Director/Trustee Five

LEA CROWN
DIRECTOR
24 ROCKLEDGE DRIVE
MERIDEN CT 6450

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/17
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 EDWARD PECZYNSKI
Signature Title TREASURER, DIRECTOR
Signature Date 1/16/18

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