FORM 1023-EZ for YELLOW SPRINGS COMMUNITY FOOD PANTRY

Field Data
EIN 84-2350852
Case Number EO-2019205-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YELLOW SPRINGS COMMUNITY FOOD PANTRY
Organization’s Mailing Address 140 B EAST LIMESTONE STREET
City YELLOW SPRINGS
State OH
ZIP 45387
Accounting period End 12
Primary contact name BARRY P REICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA HURWITZ
PRESIDENT
140 B EAST LIMESTONE STREET
YELLOW SPRINGS OH 45387

Officer/Director/Trustee Two

BETHANY GRAY
VICE PRESIDENT
960 TALUS DRIVE
YELLOW SPRINGS OH 45387

Officer/Director/Trustee Three

LINDA CHERNICK
SECRETARY
4 HERMAN STREET
YELLOW SPRINGS OH 45387

Officer/Director/Trustee Four

LISA RUSSELL
TREASURER
209 WEST WHITEMAN STREET
YELLOW SPRINGS OH 45387

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/19
Organization Incorporation State OH
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 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 PAULA HURWITZ
Signature Title PRESIDENT
Signature Date 7/22/19

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