FORM 1023-EZ for LAKE ELMO FARMERS MARKET

Field Data
EIN 82-1422560
Case Number EO-2017129-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE ELMO FARMERS MARKET
Organization’s Mailing Address 8241 HIDDEN BAY TRAIL
City LAKE ELMO
State MN
ZIP 55042
Accounting period End 12
Primary contact name GERALD GORACKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL LUNDGREN
PRESIDENT
8282 HIDDEN BAY COURT N
LAKE ELMO MN 55042

Officer/Director/Trustee Two

GERALD GORACKI
VP / TREASURER
8241 HIDDEN BAY TRAIL N
LAKE ELMO MN 55042

Officer/Director/Trustee Three

SUSAN SAFFLE
SECRETARY
11180 50TH ST N
LAKE ELMO MN 55042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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