FORM 1023-EZ for HARVEST FAMILY DREAM

Field Data
EIN 46-3005118
Case Number EO-2015183-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARVEST FAMILY DREAM
Organization’s Mailing Address 1488 14TH ROAD
City WASHINGTON
State OK
ZIP 66968
Accounting period End 12
Primary contact name TINA MEIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINA MEIER
PRESIDENT
1503 S ASHTON AVE
STILLWATER OK 74074

Officer/Director/Trustee Two

RAMONA HIESTERMAN
SECRETARY
1488 14TH ROAD
WASHINGTON KS 66968

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2013
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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