FORM 1023-EZ for JAMESVILLE COMMUNITY FOOD PANTRY

Field Data
EIN 82-1485046
Case Number EO-2017132-000310
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMESVILLE COMMUNITY FOOD PANTRY
Organization’s Mailing Address 1085 BROWN ROAD
City JAMESVILLE
State NC
ZIP 27846
Accounting period End 12
Primary contact name BRENDA M PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE HUGHES
PRESIDENT
29211 US HWY 64 E
JAMESVILLE NC 27846

Officer/Director/Trustee Two

BRENDA PERRY
PROGRAM DIRECTOR
1085 BROWN RD
JAMESVILLE NC 27846

Officer/Director/Trustee Three

MELISSA THIGPEN
TREASURER
209 THE COURTYARDS
WASHINGTON NC 27889

Officer/Director/Trustee Four

JERRY ANGE
DIRECTOR
1392 MAURICE BROWN RD
JAMESVILLE NC 27846

Organization’s website
Organization’s email BPERRY1957@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2017
Organization Incorporation State NC
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: Yes
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
Signature Title
Signature Date

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