FORM 1023-EZ for TAYLOR S FARMERS MARKET INC

Field Data
EIN 81-5041932
Case Number EO-2017097-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAYLOR S FARMERS MARKET INC
Organization’s Mailing Address 22805 GODDARD
City TAYLOR
State MI
ZIP 48306
Accounting period End 12
Primary contact name KIMBER DORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOM OUELLETTE
PRESIDENT
10900 MT VERNON APT 101
TAYLOR MI 48180

Officer/Director/Trustee Two

JERRY ZIEMBA
TREASURER
10849 MICHAEL
TAYLOR MI 48180

Officer/Director/Trustee Three

KIMBER DORTON
SECRETARY
24306 THORN DR
BROWNSTOWN MI 48134

Officer/Director/Trustee Four

JEFF DOBEK
BOARD MEMBER
9610 SHARON
TAYLOR MI 48180

Officer/Director/Trustee Five

KARL ZIOMEK
BOARD MEMBER
17186 HILLTOP VIEW DR
NORTHVILLE MI 48168

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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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