FORM 1023-EZ for WAYNE COUNTY FARMERS MARKET INC

Field Data
EIN 47-3803128
Case Number EO-2015176-000419
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAYNE COUNTY FARMERS MARKET INC
Organization’s Mailing Address PO BOX 193
City JESUP
State GA
ZIP 31598
Accounting period End 12
Primary contact name CANDEE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICK HARRIS
CHAIRMAN
PO BOX 1244
JESUP GA 31598

Officer/Director/Trustee Two

CORA WUJCEAK
VICE CHAIRMAN
152 BLUFF ROAD
JESUP GA 31545

Officer/Director/Trustee Three

CANDEE HARRIS
SECRETARY/TREASURER
PO BOX 1244
JESUP GA 31598

Officer/Director/Trustee Four

JIM DIEVENEY
BOARD MEMBER
10122 WAYCROSS HWY
SCREVEN GA 31560

Officer/Director/Trustee Five

MARK FRYE
BOARD MEMBER
PO BOX 510
JESUP GA 31598

Organization’s website WWW.THEWCFM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State GA
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: 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 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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