FORM 1023-EZ for URBAN GARDEN FARMERS MARKET INC

Field Data
EIN 47-3779197
Case Number EO-2015119-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN GARDEN FARMERS MARKET INC
Organization’s Mailing Address 717 PENNSYLVANIA CT
City SOUTH BEND
State IN
ZIP 46601-3611
Accounting period End 12
Primary contact name RHONDA FORREST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN HAUN
TEASURER
50727 SEAN CT
SOUTH BEND IN 46628-9373

Officer/Director/Trustee Two

LISSETTE SANTANA
SECRETARY
3502 N MAIN STREET APT 1
MISHAWAKA IN 46545-3156

Officer/Director/Trustee Three

RHONDA FORREST
PRESIDENT
717 PENNSYLVANIA CT
SOUTH BEND IN 46601-3611

Organization’s website URBANGARDENMARKET.BLOGSPOT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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
Signature Title
Signature Date

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