FORM 1023-EZ for MOUNT CLEMENS FARMERS MARKET

Field Data
EIN 81-0723030
Case Number EO-2016123-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT CLEMENS FARMERS MARKET
Organization’s Mailing Address 28 FIRST STREET SUITE B
City MOUNT CLEMENS
State MI
ZIP 48043
Accounting period End 12
Primary contact name PEARL ROMBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PEARL ROMBERG
PRESIDENT OF MARKET BOARD
1847 E CASS CITY RD
UBLY MI 48475

Officer/Director/Trustee Two

EDWARD ST JOHN
VICE PRESIDENT OF MARKET BOARD
68024 MARY STREET
RICHMOND MI 48062

Officer/Director/Trustee Three

JOELLEN CLARK
SECRETARY OF MARKET BOARD
13328 GILBERT RD
RILEY MI 48041

Officer/Director/Trustee Four

PATRICIA WALERCZYK
TREASURER OF MARKET BOARD
28 FIRST STREET SUITE B
MOUNT CLEMENS MI 48043

Officer/Director/Trustee Five

LUCY ROBERTSON
FARMER REPRESENTATIVE
1790 WITHEY
COLUMBUS MI 48063

Organization’s website WWW.MOUNTCLEMENSFARMERSMARKET.COM
Organization’s email MCFARMERSMARKET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/1989
Organization Incorporation State MI
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 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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