FORM 1023-EZ for FARM AND WILDERNESS CONSERVATION INC

Field Data
EIN 83-1462647
Case Number EO-2019029-000865
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FARM AND WILDERNESS CONSERVATION INC
Organization’s Mailing Address 401 FARM AND WILDERNESS ROAD
City PLYMOUTH
State VT
ZIP 5056
Accounting period End 12
Primary contact name REBECCA GEARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA STEINITZ
DIRECTOR
401 FARM AND WILDERNESS ROAD
PLYMOUTH VT 5056

Officer/Director/Trustee Two

ADAM KELLER
DIRECTOR
401 FARM AND WILDERNESS ROAD
PLYMOUTH VT 5056

Officer/Director/Trustee Three

TONYA OYA ORME
DIRECTOR
401 FARM AND WILDERNESS ROAD
PLYMOUTH VT 5056

Officer/Director/Trustee Four

KRISTIN WEBB
DIRECTOR
401 FARM AND WILDERNESS ROAD
PLYMOUTH VT 5056

Officer/Director/Trustee Five

SHANNON KEYES CIUCEVICH
OFFICER
401 FARM AND WILDERNESS ROAD
PLYMOUTH VT 5056

Organization’s website
Organization’s email FINANCE@FARMANDWILDERNESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/18
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 SHANNON KEYES CIUCEVICH
Signature Title OFFICER
Signature Date 12/19/18

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