FORM 1023-EZ for CARBON AND EMERY FARMERS MARKET INC

Field Data
EIN 86-2914404
Case Number EO-2021120-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARBON AND EMERY FARMERS MARKET INC
Organization’s Mailing Address 235 S 200 E
City HELPER
State UT
ZIP 84526-1601
Accounting period End 12
Primary contact name MICHELLE GOLDSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE GOLDSMITH
CHAIR
235 S 200 E
HELPER UT 84526-1601

Officer/Director/Trustee Two

ROSEANN PITT
OFFICER
350 S 200 W
HELPER UT 84526-1509

Officer/Director/Trustee Three

SARA BRYANT
OFFICER
825 N 200 E
PRICE UT 84501-1805

Officer/Director/Trustee Four

SELINDA BRYANT
OFFICER
1225 INDEPENDENCE AVE
PRICE UT 84501

Officer/Director/Trustee Five

ALLEN HUGHES
OFFICER
235 S 200 E
HELPER UT 84526-1601

Organization’s website
Organization’s email TRAVELINMI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2021
Organization Incorporation State UT
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: 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 MICHELLE GOLDSMITH
Signature Title CHAIR
Signature Date 4/28/2021

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