FORM 1023-EZ for SE3EDS2FEED

Field Data
EIN 81-1558492
Case Number EO-2016056-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SE3EDS2FEED
Organization’s Mailing Address 7033 KING ROAD UNIT A
City LOOMIS
State CA
ZIP 95650
Accounting period End 12
Primary contact name WAYNE HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOM HENSON
DIRECTOR
6777 IOWA COURT
GRANITE BAY CA 95746

Officer/Director/Trustee Two

MARK MENTZE
DIRECTOR
POB 82
SHERIDAN CA 95681

Officer/Director/Trustee Three

AUSTIN PETTY
DIRECTOR
6140 HORSESHOE BAR ROAD
LOOMIS CA 95650

Officer/Director/Trustee Four

WAYNE HARRISON
OFFICER
7033 KING ROAD
LOOMIS CA 95650

Officer/Director/Trustee Five

JACK DAY
DIRECTOR
8825 ANGELI LANE
LOOMIS CA 95650

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural 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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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