FORM 1023-EZ for FALLON FOOD HUB CO-OP

Field Data
EIN 81-1666148
Case Number EO-2016074-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALLON FOOD HUB CO-OP
Organization’s Mailing Address 40 E CENTER STREET UNIT 5
City FALLON
State NV
ZIP 89406
Accounting period End 12
Primary contact name DEBORAH STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARSHALL COVERSTON
CHAIRMAN
5112 TOYON DRIVE
FALLON NV 89406

Officer/Director/Trustee Two

CAROL LLOYD
SECRETARY
475 S LAVERNE STREET
FALLON NV 89406

Officer/Director/Trustee Three

JUNE LINDSEY
DIRECTOR
2200 BAFFORD LANE
FALLON NV 89406

Officer/Director/Trustee Four

THOMAS REEVES
DIRECTOR
1305 SHECKLER CUT-OFF
FALLON NV 89406

Organization’s website WWW.FALLONFOODHUB.COM
Organization’s email FALLONFOODHUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2016
Organization Incorporation State NV
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: 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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