FORM 1023-EZ for MUKILTEO FARMERS MARKET

Field Data
EIN 20-1402990
Case Number EO-2014240-000569
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUKILTEO FARMERS MARKET
Organization’s Mailing Address PO BOX 1021
City MUKILTEO
State WA
ZIP 98275
Accounting period End 12
Primary contact name DOUG ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUGLAS ANDERSON
PRESIDENT
1010 FIRST LANE
MUKILTEO WA 98275

Officer/Director/Trustee Two

DIANA KUSHNER
VICE-PRESIDENT
718 RICE RD
MUKILTEO WA 98275

Officer/Director/Trustee Three

ANNA TINK
SECRETARY/TREASURER
4930 88TH SW
MUKILTEO WA 98275

Organization’s website WWW.MUKILTEOFARMERSMARKET.ORG
Organization’s email MFMORG@MUKILTEOFARMERSMARKET.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2004
Organization Incorporation State WA
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
Signature Title
Signature Date

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