FORM 1023-EZ for GREEN LABEL

Field Data
EIN 47-4769255
Case Number EO-2015226-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN LABEL
Organization’s Mailing Address 1071 E 100 S UNIT C-4
City SAINT GEORGE
State UT
ZIP 84770
Accounting period End 12
Primary contact name JAYSON PITTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JARED PLUNKETT
TRUSTEE, OFFICER
1071 E 100 S UNIT C-4
SAINT GEORGE UT 84770

Officer/Director/Trustee Two

JARED GOODSPEED
TRUSTEE, OFFICER
1071 E 100 S UNIT C-4
SAINT GEORGE UT 84770

Officer/Director/Trustee Three

RUSTY DAVIS
TRUSTEE, OFFICER
1071 E 100 S UNIT C-4
SAINT GEORGE UT 84770

Officer/Director/Trustee Four

JAYSON PITTS
PRINCIPAL, DIRECTOR
1071 E 100 S UNIT C-4
SAINT GEORGE UT 84770

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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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