FORM 1023-EZ for GRASS LAKE FARMERS MARKET

Field Data
EIN 81-1788202
Case Number EO-2016193-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRASS LAKE FARMERS MARKET
Organization’s Mailing Address PO BOX 446
City GRASS LAKE
State MI
ZIP 49240
Accounting period End 12
Primary contact name SABRINA EDGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRINA EDGAR
PRESIDENT/MARKET MANAGER
14478 E MICHIGAN AVE
GRASS LAKE MI 49240

Officer/Director/Trustee Two

CHANDRA DENNIS
TREASURER
431 SOUTH STREET
GRASS LAKE MI 49240

Officer/Director/Trustee Three

VERONICA ZICK
SECRETARY
10255 WINEGAR
GRASS LAKE MI 49240

Organization’s website WWW.GRASSLAKEFARMERSMARKET.ORG
Organization’s email GRASSLAKE.FARMERSMARKET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
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 Yes
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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