FORM 1023-EZ for INDIANA COUNTY FARMERS MARKET

Field Data
EIN 20-8900101
Case Number EO-2019031-000567
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANA COUNTY FARMERS MARKET
Organization’s Mailing Address PO BOX 714
City INDIANA
State PA
ZIP 15701
Accounting period End 12
Primary contact name NATALIE JAWORSKYJ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARLENE LIVINGSTON
PRESIDENT
PO BOX 714
INDIANA PA 15701

Officer/Director/Trustee Two

EMILY HIXSON
VICE PRESIDENT
PO BOX 714
INDIANA PA 15701

Officer/Director/Trustee Three

CHLOE DREW
SECRETARY
PO BOX 714
INDIANA PA 15701

Officer/Director/Trustee Four

NATALIE JAWORSKYJ
TREASURER
PO BOX 714
INDIANA PA 15701

Officer/Director/Trustee Five

JANET HUBERT
MEMBER AT LARGE
PO BOX 714
INDIANA PA 15701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NATALIE JAWORSKYJ
Signature Title TREASURER
Signature Date 1/4/19

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