FORM 1023-EZ for FREMONT LOCAL FOODS

Field Data
EIN 45-5131900
Case Number EO-2017124-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREMONT LOCAL FOODS
Organization’s Mailing Address 101 BRYANT RD
City RIVERTON
State WA
ZIP 82501-9409
Accounting period End 12
Primary contact name STEVE DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE DOYLE
PRESIDENT
101 BRYANT RD
RIVERTON WY 82501-9409

Officer/Director/Trustee Two

SHERRY SHELLY
VICE PRESIDENT
119 WEST JACKSON
RIVERTON WY 82501

Officer/Director/Trustee Three

KIM BRIDDLE
TREASURER
11767 HWY 789
SHOSHONI WY 82649

Officer/Director/Trustee Four

KATHLEEN OLEARY
SECRETARY
440 2 VALLEY ROAD
SHOSHONI WY 82649

Officer/Director/Trustee Five

JACK LEE
DIRECTOR
119 WEST JACKSON
RIVERTON WY 82501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2012
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: No
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 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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