FORM 1023-EZ for TWIN RIVERS SMALL FARMERSCO-OP

Field Data
EIN 50-0561120
Case Number EO-2016165-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWIN RIVERS SMALL FARMERSCO-OP
Organization’s Mailing Address 406 SOUTH NC 111 HWY
City CHINQUAPIN
State NC
ZIP 28521
Accounting period End 12
Primary contact name HOLLIE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOLLIE BROWN
PRESIDENT
406 S NC 111 HWY
CHINQUAPIN NC 28521

Officer/Director/Trustee Two

HUGH MILLER
VICE PRESIDENT
1247 SARECTA RD
PINK HILL NC 28572

Officer/Director/Trustee Three

LEONARD HICKMAN
SECRETARY
1674 VEACHS MILL RD
WARSAW NC 28398

Officer/Director/Trustee Four

DANIEL PEARSALL
TREASURER
287 JESSICA PEARSALL RD
KENANSVILLE NC 28349

Officer/Director/Trustee Five

LARRY MARTIN
ASSISTANT TREASURER
1202 MILL RD
MT OLIVE NC 28365

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K02 - Management & Technical Assistance
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 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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