FORM 1023-EZ for ADOPT A FARMER INC

Field Data
EIN 81-3731194
Case Number EO-2016333-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADOPT A FARMER INC
Organization’s Mailing Address 19216 ROBIN PERCH LN
City TAMPA
State FL
ZIP 33647
Accounting period End 12
Primary contact name MURALI KATIPALLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MURALI KATIPALLI
DIRECTOR
19216 ROBIN PERCH LN
TAMPA FL 33647

Officer/Director/Trustee Two

GOPINATH GOPALAM
DIRECTOR
18123 MANCHAC PLACE DRIVE
PRAIRIEVILLE LA 70769

Officer/Director/Trustee Three

LAKSHMI KATIPALLI
DIRECTOR
19216 ROBIN PERCH LN
TAMPA FL 33647

Officer/Director/Trustee Four

RAMBABU VIRIGINENI
DIRECTOR
1103 GREENPIPE BLVD APT F1
WEST PALM BEACH FL 33409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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