FORM 1023-EZ for UPTOWN FARMERS MARKET

Field Data
EIN 84-3692951
Case Number EO-2020021-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPTOWN FARMERS MARKET
Organization’s Mailing Address PO BOX 31046
City CHARLOTTE
State NC
ZIP 28231
Accounting period End 12
Primary contact name JONATHAN REBSAMEN - CHAIRMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN JOHNSON
PRESIDENT
7416 NEWMANS RIDGE COURT
CHARLOTTE NC 28270

Officer/Director/Trustee Two

MARVETTE MONROE
VICE PRESIDENT
2514 ARDEN GATE LANE
CHARLOTTE NC 28262

Officer/Director/Trustee Three

GLORIA MEDLOCK
VICE PRESIDENT
1927 SOUTH WENDOVER ROAD
CHARLOTTE NC 28211

Officer/Director/Trustee Four

DOUGLAS MAXEY
TREASURER
728 POINDEXTER DRIVE
CHARLOTTE NC 28209

Officer/Director/Trustee Five

DEBBIE VARN
SECRETARY
PO BOX 480172
CHARLOTTE NC 28269

Organization’s website WWW.UPTOWNFARMERSMARKET.COM
Organization’s email INFO@UPTOWNFARMERSMARKET.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2019
Organization Incorporation State NC
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: 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 JAN JOHNSON
Signature Title PRESIDENT
Signature Date 1/16/2020

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