FORM 1023-EZ for PHOENIX COMMUNITY FARM

Field Data
EIN 84-2132534
Case Number EO-2019172-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX COMMUNITY FARM
Organization’s Mailing Address 5501 CAMPAU DRIVE
City MIDLAND
State MI
ZIP 48640
Accounting period End 12
Primary contact name ANGELA M COLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH DE VRIES
PRESIDENT AND TREASURER
5501 CAMPAU DRIVE
MIDLAND MI 48640

Officer/Director/Trustee Two

GAYLE BYKER
SECRETARY
2808 SCARBOROUGH COURT
MIDLAND MI 48640

Officer/Director/Trustee Three

BARB VANDER HEIDE
VICE PRESIDENT
5509 CAMPAU DRIVE
MIDLAND MI 48640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition 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 BETH DE VRIES
Signature Title PRESIDENT AND TREASURER
Signature Date 6/19/19

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