FORM 1023-EZ for HALEYS HARVEST FARM

Field Data
EIN 86-2343279
Case Number EO-2021109-000681
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALEYS HARVEST FARM
Organization’s Mailing Address 1430 COUNTY ROAD 2150 E
City SAINT JOSEPH
State IL
ZIP 61873
Accounting period End 12
Primary contact name KARA HALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARA HALEY
CEO/CFO/SECRETARY
1430 COUNTY ROAD 2150 E
SAINT JOSEPH IL 61873

Officer/Director/Trustee Two

ANITA BOONE
DIRECTOR
1017 E WASHINGTON STREET
MONTICELLO IL 61856

Officer/Director/Trustee Three

SANDY MAURY
DIRECTOR
2158 HOMER LAKE ROAD
SAINT JOSEPH IL 61873

Officer/Director/Trustee Four

JOSH HALEY
OFFICER
1430 COUNTY ROAD 2150 E
SAINT JOSEPH IL 61873

Organization’s website N/A
Organization’s email ONTHEHALEYFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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 KARA HALEY
Signature Title CEO/CFO/SECRETARY
Signature Date 4/17/2021

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