FORM 1023-EZ for ROSLYN FARMERS MARKET

Field Data
EIN 46-2315318
Case Number EO-2014297-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSLYN FARMERS MARKET
Organization’s Mailing Address PO BOX 509
City ROSLYN
State WA
ZIP 98941
Accounting period End 12
Primary contact name MYKE WOODELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEN FLOWERS
PRESIDENT
PO BOX 384
ROSLYN WA 98941

Officer/Director/Trustee Two

MYKE WOODWELL
TREASURER
PO BOX 679
ROSLYN WA 98941

Officer/Director/Trustee Three

JENNIFER LIPTON
SECRETARY
PO BOX 42
ROSLYN WA 98941

Officer/Director/Trustee Four

MARC BRODINE
BOARD MEMBER
PO BOX 197
ROSLYN WA 98941

Officer/Director/Trustee Five

SKY STAHL
BOARD MEMBER
4719 15TH AVE NE RM 103
SEATTLE WA 98105

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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