FORM 1023-EZ for POLK FIT FRESH AND FRIENDLY

Field Data
EIN 47-1974662
Case Number EO-2015054-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLK FIT FRESH AND FRIENDLY
Organization’s Mailing Address 161 WALKER ST
City COLUMBUS
State NC
ZIP 28722
Accounting period End 12
Primary contact name BEN ELLINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNE BRITTON
DIRECTOR
50 LA SAE LANE
TRYON NC 28782

Officer/Director/Trustee Two

BEN ELLINGTON
DIRECTOR
PO BOX 387
TRYON NC 28782

Officer/Director/Trustee Three

LINDA GREENSFELDER
OFFICER
1876 LAKE ADGER PKWY
MILL SPRING NC 28756

Organization’s website POLKFITFRESHANDFRIENDLY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 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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