FORM 1023-EZ for KATIES PANTRY

Field Data
EIN 83-3148255
Case Number EO-2019079-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KATIES PANTRY
Organization’s Mailing Address 4801 SUN VALLEY DR
City EL PASO
State TX
ZIP 79924
Accounting period End 12
Primary contact name DAWN VAUGHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN VAUGHAN
DIRECTOR
10864 LOMA DEL NORTE DR
EL PASO TX 79934

Officer/Director/Trustee Two

JEFF ST CLAIR
PRESIDENT
5136 TEMPLE CT
EL PASO TX 79924

Officer/Director/Trustee Three

BARBARA GRAHAM
SECRETARY
4304 LOMA DEL NORTE DR
EL PASO TX 79934

Officer/Director/Trustee Four

ROGER TODD
TREASURER
5104 A HUNTER GREEN
EL PASO TX 79932

Officer/Director/Trustee Five

MELISSA HAGGERTY
ADVISOR
4509 HS SIBLEY
EL PASO TX 79924

Organization’s website
Organization’s email KATIESFOODPANTRY@OUTLOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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 DAWN VAUGHAN
Signature Title DIRECTOR
Signature Date 3/15/19

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