FORM 1023-EZ for PROVIDENT HERITAGE FARM CHARITABLEFOUNDATION CORPORATION

Field Data
EIN 85-0507662
Case Number EO-2020321-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVIDENT HERITAGE FARM CHARITABLEFOUNDATION CORPORATION
Organization’s Mailing Address 1985 BENCH RD
City MONTPELIER
State ID
ZIP 83254
Accounting period End 12
Primary contact name GERALD HADD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD HADD
PRESIDENT
1985 BENCH RD
MONTPELIER ID 83254

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GERALD HADD
Signature Title PRESIDENT
Signature Date 11/12/2020

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