FORM 1023-EZ for MIDVALE MARKETPLACE INC

Field Data
EIN 84-2603653
Case Number EO-2019294-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDVALE MARKETPLACE INC
Organization’s Mailing Address 2404 US HIGHWAY 95
City MIDVALE
State ID
ZIP 83645
Accounting period End 12
Primary contact name ERIC TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANE WILLIAMS
VICE PRESIDENT
PO BOX 35
MIDVALE ID 83645

Officer/Director/Trustee Two

ELSA FREEMAN
EXECUTIVE DIRECTOR/TREASURER
PO BOX 35
MIDVALE ID 83645

Officer/Director/Trustee Three

SHARON WIDNER
PRESIDENT
PO BOX 11
MIDVALE ID 83645

Officer/Director/Trustee Four

ERIN WHITENER
SECRETARY
2020 WIDNER RD
MIDVALE ID 83645

Officer/Director/Trustee Five

JENNIFER NEIDER
DIRECTOR
2719 TONEY LANE
CAMBRIDGE ID 83610

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/19
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 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 LANE WILLIAMS
Signature Title VICE PRESIDENT
Signature Date 10/17/19

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