FORM 1023-EZ for 41 SOUTH FARMERS MARKET INC

Field Data
EIN 85-0928411
Case Number EO-2020225-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 41 SOUTH FARMERS MARKET INC
Organization’s Mailing Address P O BOX 1
City TIFTON
State GA
ZIP 31793
Accounting period End 12
Primary contact name LARRY B MIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MILTON HALL
PRESIDENT
223 E 2ND STREET APT 4
TIFTON GA 31794

Officer/Director/Trustee Two

LARRY MIMS
SECRETARY/TREASURER
4501 LEE ANNE DRIVE
TIFTON GA 31793

Officer/Director/Trustee Three

JOYCE MIMS
DIRECTOR
4501 LEE ANNE DRIVE
TIFTON GA 31793

Officer/Director/Trustee Four

SANDRANETTA WOMACK
DIRECTOR
415 DIXIE AVENUE
TIFTON GA 31794

Officer/Director/Trustee Five

ANDREA CARTER
DIRECTOR
3710 COUNTRYSIDE DRIVE
ALBANY GA 31705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MILTON HALL
Signature Title PRESIDENT
Signature Date 8/10/2020

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