FORM 1023-EZ for SHALOM FOOD PANTRY INC

Field Data
EIN 82-1306418
Case Number EO-2017117-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHALOM FOOD PANTRY INC
Organization’s Mailing Address 393 DELAWARE AVE
City DELMAR
State NY
ZIP 12054
Accounting period End 12
Primary contact name SCHNEUR SIMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ISRAEL RUBIN
DIRECTOR
122 SOUTH MAIN ST
ALBANY NY 12208

Officer/Director/Trustee Two

SCHNEUR SIMON
DIRECTOR, PRESIDENT
493 DELAWARE AVE
DELMAR NY 12054

Officer/Director/Trustee Three

MICHAEL CARAS
DIRECTOR
96 GROVE AVE
ALBANY NY 12208

Officer/Director/Trustee Four

CHANA SCHECHTMAN
TREASURER
493 DELAWARE AVE
DELMAR NY 12054

Officer/Director/Trustee Five

DAVID WEINSTEIN
SECRETARY
144 JORDAN RIVER BLVD
DELMAR NY 12054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State NY
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: 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 Yes
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 Yes
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
Signature Title
Signature Date

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