FORM 1023-EZ for ROUTE ONE FARMERS MARKET

Field Data
EIN 84-4018801
Case Number EO-2019354-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROUTE ONE FARMERS MARKET
Organization’s Mailing Address 168 INVERNESS
City LOMPC
State CA
ZIP 93436
Accounting period End 12
Primary contact name MEGAN N BOWKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY CASAREZ
MEMBER
2886 LEWIS DRIVE
LOMPOC CA 93436

Officer/Director/Trustee Two

LAURIE JERVIS
SECRETARY
5588 CAMPBELL RD
LOMPOC CA 93436

Officer/Director/Trustee Three

DANIELLE OBRIEN
TREASURER
3492 VIA BARBA
LOMPOC CA 93436

Officer/Director/Trustee Four

JEANIE SLEIGH
PRESIDENT
1537 ANDREWS DRIVE
LOMPOC CA 93436

Officer/Director/Trustee Five

JEREMY RAFF
MEMBER
890 LA SALLE CANYON ROAD
LOMPOC CA 93436

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K93 - Fruit Markets
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EMILY CASAREZ
Signature Title MEMBER
Signature Date 12/18/2019

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