FORM 1023-EZ for GARDEN OF EATIN-KENOSHA

Field Data
EIN 46-3962208
Case Number EO-2016043-000021
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GARDEN OF EATIN-KENOSHA
Organization’s Mailing Address 4405 31ST AVE
City KENOSHA
State WI
ZIP 53144
Accounting period End 12
Primary contact name ANDY BERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDY BERG
EXECUTIVE DIRECTOR
4405 31ST AVE
KENOSHA WI 53144

Officer/Director/Trustee Two

MERCY BERG
MANAGING DIRECTOR
4405 31ST AVE
KENOSHA WI 53144

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2013
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 Yes
Donation of funds No
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 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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