FORM 1023-EZ for CIMARRON FARM

Field Data
EIN 84-3853293
Case Number EO-2019346-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIMARRON FARM
Organization’s Mailing Address 901 LAKE ELMO AVE N
City LAKE ELMO
State MN
ZIP 55042
Accounting period End 12
Primary contact name BENJAMIN DEVORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN DEVORE
DIRECTOR
1314 1ST STREET N
STILLWATER MN 55082

Officer/Director/Trustee Two

NINA COOK
YOUTH PROGRAM DIRECTOR
814 OLIVE STREET
STILLWATER MN 55082

Officer/Director/Trustee Three

ANN DELAVERGNE
ADVISOR
2634 GREEN MEADOW CT
STILLWTER MN 55082

Organization’s website
Organization’s email CIMARRONCOMMUNITYFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C42 - Garden Club, Horticultural Program
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 Yes
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 BENJAMIN DEVORE
Signature Title DIRECTOR
Signature Date 12/10/2019

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