FORM 1023-EZ for FELLINLOVE FARM

Field Data
EIN 82-5171882
Case Number EO-2018106-001197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FELLINLOVE FARM
Organization’s Mailing Address 6364 144TH AVENUE
City HOLLAND
State MI
ZIP 49423
Accounting period End 12
Primary contact name CHERYL KALETKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL KALETKA
DIRECTOR
6364 144TH AVENUE
HOLLAND MI 49423

Officer/Director/Trustee Two

LAURA TUINENGA
DIRECTOR
688 S SHORE DR
HOLLAND MI 49423

Officer/Director/Trustee Three

SUSAN HARDMAN
DIRECTOR
13714 MIRAGE CT
HOLLAND MI 49424

Officer/Director/Trustee Four

ANGELA WEEKS
DIRECTOR
2974 WINDY WOOD ST
GRAND RAPIDS MI 49512

Officer/Director/Trustee Five

MELANIE LEWIN
DIRECTOR
1143 COUNTY LANE
HOLLAND MI 49423

Organization’s website WWW.FELLINLOVEFARM.COM
Organization’s email FELLINLOVEFARM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 CHERYL KALETKA
Signature Title DIRECTOR
Signature Date 4/13/18

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