FORM 1023-EZ for DOWNTOWN HATTIESBURG FARMERS MARKET

Field Data
EIN 82-4952513
Case Number EO-2018107-000665
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOWNTOWN HATTIESBURG FARMERS MARKET
Organization’s Mailing Address PO BOX 17741
City HATTIESBURG
State MS
ZIP 39402
Accounting period End 12
Primary contact name MARK KLINEDINST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK KLINEDINST
PRESIDENT
504 MANDALAY DRIVE
HATTIESBURG MS 39402

Officer/Director/Trustee Two

BEN BURKETT
VICE PRESIDENT
32 BENNIE BURKETT RD
PETAL MS 39465

Officer/Director/Trustee Three

MORRIS ROBINSON
SECRETARY
1509 NEW HOPE RD
WIGGINS MS 39577

Officer/Director/Trustee Four

LASHAUNDREA CROOK
TREASURER
118 COLLEGE DR-5172
HATTIESBURG MS 39406-1

Officer/Director/Trustee Five

MONICAH BRUMFIELD
DIRECTOR
118 COLLEGE DRIVE-5172
HATTIESBURG MS 39406-1

Organization’s website HTTPS://WWW.HATTIESBURGFARMERSMARKET.COM
Organization’s email HATTIESBURGFARMERSMARKET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State MS
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: 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 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 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 MARK KLINEDINST
Signature Title PRESIDENT
Signature Date 3/27/18

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