FORM 1023-EZ for MOUNT VERNON FARMERS MARKET

Field Data
EIN 91-1973456
Case Number EO-2016280-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT VERNON FARMERS MARKET
Organization’s Mailing Address PO BOX 2053
City MOUNT VERNON
State WA
ZIP 98273
Accounting period End 12
Primary contact name JERRY SHACKETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE MCCONNELL
CURRENT PRESIDENT
27103 HELMICK RD
SEDRO WOOLLEY WA 98284

Officer/Director/Trustee Two

JERRY SHACKETTE
TREASURER
8172 PINELLI RD
SEDRO WOOLLEY WA 98284-7303

Officer/Director/Trustee Three

SARAH WAGSTAFF
COMMITTEE CHAIR
810 E MAGNOLIA
BURLINGTON WA 98233

Officer/Director/Trustee Four

SANDI HAHN
SECRETARY
810 UPLANDS DR
MOUNT VERNON WA 98273

Officer/Director/Trustee Five

MARGARET HORAK
MEMBER
1500 A EAST COLLEGE WAY PMB 443
MOUNT VERNON WA 98273

Organization’s website MOUNTVERNONFARMERSMARKET.ORG
Organization’s email MOUNTVERNONFARMERSMARKET@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2004
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 Yes
One Third Support Gifts No
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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