FORM 1023-EZ for FARMER JAYS JUNIOR SPROUTS INC

Field Data
EIN 81-3998396
Case Number EO-2016277-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARMER JAYS JUNIOR SPROUTS INC
Organization’s Mailing Address 5658 WESTERN WAY
City LAKE WORTH
State FL
ZIP 33463
Accounting period End 12
Primary contact name JEFFREY FROMKNECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MCCOBB
CHAIRMEN OF THE BOARD
5658 WESTERN WAY
LAKE WORTH FL 33463

Officer/Director/Trustee Two

JEFFREY FROMKNECHT
GENERAL COUNSEL
980 N FEDERAL HWY SUITE 110
BOCA RATON FL 33432

Officer/Director/Trustee Three

TO BE ELECTED AT FIRST BOD MEETING NA
NA
NA
NA FL 00000

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 Yes
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
Signature Title
Signature Date

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