FORM 1023-EZ for NORTHERN GREENBRIER FOOD PANTRY INC

Field Data
EIN 84-4081644
Case Number EO-2020023-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN GREENBRIER FOOD PANTRY INC
Organization’s Mailing Address 27420 SENECA TRAIL NORTH
City RENICK
State WV
ZIP 24966
Accounting period End 12
Primary contact name DEBORA BETSILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORA BETSILL
PRESIDENT/DIRECTOR
27420 SENECA TRAIL NORTH
RENICK WV 24966

Officer/Director/Trustee Two

DOSHIA WEBB
TREASURER/DIRECTOR
2313 SPRING CREEK STATION ROAD
RENICK WV 24966

Officer/Director/Trustee Three

RHONDA HAMM
SECRETARY/DIRECTOR
1745 JEFFERSON STREET
LEWISBURG WV 24966

Officer/Director/Trustee Five

DEBORA HODGE-BETSILL
DIRECTOR
27420 SENECA TRL N
RENICK WV 24966

Organization’s website
Organization’s email DEBIBETSILL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2020
Organization Incorporation State WV
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: 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 No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORA BETSILL
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/21/2020

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