FORM 1023-EZ for LOCALLY GROWN

Field Data
EIN 84-2148701
Case Number EO-2019219-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOCALLY GROWN
Organization’s Mailing Address 1256 FRANKLIN AVE
City WILKINSBURG
State PA
ZIP 15221
Accounting period End 12
Primary contact name MICHAEL SKIRPAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS ALVAREZ
CHAIRPERSON
311 PENNWOOD AVE NO 1
PITTSBURGH PA 15221

Officer/Director/Trustee Two

SARA DAVIS BUSS
VICE CHAIRPERSON
1269 DENNISTON ST
PITTSBURGH PA 15217

Officer/Director/Trustee Three

OLGA PAGODA
TREASURER
718 WASHINGTON AVE
OAKMONT PA 15139

Officer/Director/Trustee Four

KENNY CHEN
SECRETARY
907 BRIGHTON RD APT 3
PITTSBURGH PA 15233

Officer/Director/Trustee Five

JEFFREY BIGHAM
DIRECTOR
1401 BEECHWOOD BLVD
PITTSBURGH PA 15217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 TRAVIS ALVAREZ
Signature Title CHAIRPERSON
Signature Date 8/5/19

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