FORM 1023-EZ for FOOD BANK FARM GARDENS OF JEFFERSON COUNTY

Field Data
EIN 46-5747181
Case Number EO-2015134-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOOD BANK FARM GARDENS OF JEFFERSON COUNTY
Organization’s Mailing Address 1925 BLAINE STREET STE 7
City PORT TOWNSEND
State WA
ZIP 98368-6330
Accounting period End 12
Primary contact name LYS BURDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LYS BURDEN
PRESIDENT
310 WILLOW ST
PORT TOWNSEND WA 98368-6417

Officer/Director/Trustee Two

KAREN KASTEL
VICE PRESIDENT
129 TAYLOR ST - 212
PORT TOWNSEND WA 98368-5714

Officer/Director/Trustee Three

EMILY STEWART
SECRETARY/TREASURER
1416 14TH STREET
PORT TOWNSEND WA 98368-8506

Officer/Director/Trustee Four

JO YOUNT
BOARD MEMBER
717 25TH STREET
PORT TOWNSEND WA 98368-7402

Organization’s website HTTP://PTFOODBANKGARDEN.COM/
Organization’s email PTFOODBANKGARDEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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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