FORM 1023-EZ for PLENTIFUL HARVEST CO-OP INC

Field Data
EIN 83-3909215
Case Number EO-2019093-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLENTIFUL HARVEST CO-OP INC
Organization’s Mailing Address 230 COSBY DRIVE
City LAGRANGE
State GA
ZIP 30241
Accounting period End 12
Primary contact name JOHN CIPOLLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY BUSUULWA
PRESIDENT
6410 NOBLE AVE
COLUMBIA SC 29203

Officer/Director/Trustee Two

ANGELINA BUSUULWA
TREASURER
6410 NOBLE AVE
COLUMBIA SC 29203

Officer/Director/Trustee Three

JONATHAN LAWS
SECRETARY
189 COSBY DRIVE
LAGRANGE GA 30241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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 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 TIMOTHY BUSUULWA
Signature Title PRESIDENT
Signature Date 4/1/19

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