FORM 1023-EZ for LEARNING 4 LIFE FARM

Field Data
EIN 83-3932132
Case Number EO-2019115-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEARNING 4 LIFE FARM
Organization’s Mailing Address 125 DILLMONT DRIVE
City COLUMBUS
State OH
ZIP 43235
Accounting period End 12
Primary contact name JOHN SIMATACOLOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL MEDLEY
EXECUTIVE DIRECTOR
125 DILLMONT DRIVE
COLUMBUS OH 43235

Officer/Director/Trustee Two

COURTLAND BISHOP
PRESIDENT
560 MORNING ST
WORTHINGTON OH 43085

Officer/Director/Trustee Three

JENNIFER KNEICE
VICE-PRESIDENT
12187 DERBY ST
PICKERINGTON OH 43147

Officer/Director/Trustee Four

SHARON WIGGINS
SECRETARY
1812 FALLSBURG RD NE
NEWARK OH 43055

Officer/Director/Trustee Five

AMY HURST
TREASURER
3060 JOHNSTOWN-UTICA RD
JOHNSTOWN OH 43031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 JILL MEDLEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/23/19

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