FORM 1023-EZ for HICKORY COUNTY FARMERS MARKET

Field Data
EIN 47-2119501
Case Number EO-2014295-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HICKORY COUNTY FARMERS MARKET
Organization’s Mailing Address 201 CEDAR ST
City HERMITAGE
State MO
ZIP 65668
Accounting period End 12
Primary contact name DAWN VADER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA VASTINE
PRESIDENT
14365 SE HIGHWAY T
WEAUBLEAU MO 65774

Officer/Director/Trustee Two

WARREN OLINGER
VICE-PRESIDENT
RR 72 BOX 2847
WHEATLAND MO 65779

Officer/Director/Trustee Three

GAIL RUDOLPH
SECRETARY/TREASURER
RR 91 BOX 1330
CROSS TIMBERS MO 65634

Officer/Director/Trustee Four

DAWN VADER
MEMBER
RR 72 BOX 335
URBANA MO 65767

Officer/Director/Trustee Five

SANDI NELSON
MEMBER
RR 1 BOX 1245
WHEATLAND MO 65779

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
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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