FORM 1023-EZ for 12 BUSHELS INC

Field Data
EIN 81-3368427
Case Number EO-2017317-000466
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 12 BUSHELS INC
Organization’s Mailing Address 3509 SOUTH BROAD STREET
City SCOTTSBORO
State AL
ZIP 35769
Accounting period End 12
Primary contact name CAROLYN SUMMERFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG DEVRIES
DIRECTOR
150 JACK JONES LANE
WOODVILLE AL 35776

Officer/Director/Trustee Two

JOE YOUNG
DIRECTOR
321 SHARON STREET
SCOTTSBORO AL 35768

Officer/Director/Trustee Three

LLOYD NELMS
DIRECTOR
3707 SOUTH BROAD STREET
SCOTTSBORO AL 35769

Officer/Director/Trustee Four

MATT WARD
TRUSTEE
536 RIDGEDALE ROAD
SCOTTSBORO AL 35768

Organization’s website MATTSW03.WIXSITE.COM/12BUSHELSFDC
Organization’s email CCSCPA@SCOTTSBORO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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