FORM 1023-EZ for EVERBREEZE FARM FOUNDATION

Field Data
EIN 84-4778590
Case Number EO-2021110-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVERBREEZE FARM FOUNDATION
Organization’s Mailing Address 27542 LIME AVE
City YALAHA
State FL
ZIP 34797
Accounting period End 12
Primary contact name DALE BARNHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNEY BARNHART
CHAIRMAN
270 NEW HAMPSHIRE RD
IOLA FL 66749

Officer/Director/Trustee Two

DALE BARNHART
VICE CHAIRMAN
27542 LIME AVE
YALAHA FL 34797

Officer/Director/Trustee Three

KATHRYN MOYER
SECRETARY
8803 CATBRIAR BAY WAY
ORLANDO FL 32829

Officer/Director/Trustee Four

MARILYN COX
TREASURER
25360 W 66TH TERR
SHAWNEE KS 66226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DALE BARNHART
Signature Title VICE CHAIRMAN
Signature Date 4/18/2021

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