FORM 1023-EZ for WILLOWBEND FARMS INC

Field Data
EIN 82-0834802
Case Number EO-2017121-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLOWBEND FARMS INC
Organization’s Mailing Address 3757 GEORGETOWN ROAD NW
City CLEVELAND
State TN
ZIP 37312
Accounting period End 12
Primary contact name SARAH MMCKINNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH MCKINNIS
DIRECTOR
PO BOX 135
BIRCHWOOD TN 37305

Officer/Director/Trustee Two

SARAH CANTRELL
DIRECTOR
155 LITCHFIELD LANE
CLEVELAND TN 37312

Officer/Director/Trustee Three

MELISSA WILSON
DIRECTOR
270 ROYAL DRIVE NW
CLEVELAND TN 37312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F42 - Rape Victim Services
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 Yes
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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