FORM 1023-EZ for GREATER LEWIS COUNTY FARMERS MARKETASSOCIATION

Field Data
EIN 13-4298293
Case Number EO-2019136-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREATER LEWIS COUNTY FARMERS MARKETASSOCIATION
Organization’s Mailing Address PO BOX 746
City CHEHALIS
State WA
ZIP 98532
Accounting period End 12
Primary contact name MICHAELYN ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOKEY SKINNER
PRESIDENT
716 WEST CARSON
CENTRALIA WA 98531

Officer/Director/Trustee Two

KELLY BATTERSHEL
VICE PRESIDENT
2901 46TH AVE NE
OLYMPIA WA 98506

Officer/Director/Trustee Three

DEBORAH COLLINS
TREASURER
1673 SOUTH MARKET BLVD
CHEHALIS WA 98532

Officer/Director/Trustee Four

LEAH ADANGFRY
SECRETARY
457 TELEGRAPH ROAD
WINLOCK WA 98596

Officer/Director/Trustee Five

MICHAELYN ERICKSON
MARKET MANAGER
152 ALLEN ROAD
ONALASKA WA 98570

Organization’s website WWW.CHEHALISFARMERSMARKET.COM
Organization’s email INFO@CHEHALISFARMERSMARKET.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/05
Organization Incorporation State WA
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: No
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 MICHAELYN ERICKSON
Signature Title MARKET MANAGER
Signature Date 5/14/19

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