FORM 1023-EZ for LA MONTE FOOD PANTRY

Field Data
EIN 47-5376807
Case Number EO-2015296-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA MONTE FOOD PANTRY
Organization’s Mailing Address 414 NORTH MAIN STREET
City LA MONTE
State MO
ZIP 65337
Accounting period End 12
Primary contact name DEBRA ARVELO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA ARVELO
PASTOR
414 NORTH MAIN STREET
LA MONTE MO 65337

Officer/Director/Trustee Two

ALAN MORSE
PASTOR
300 WEST NORRIS
LA MONTE MO 65337

Officer/Director/Trustee Three

LEA ANNE BELL
LOAN OFFICER
27963 CLEVENGER ROAD
LA MONTE MO 65332

Officer/Director/Trustee Four

JOAN TWIDWELL
COMMUNITY MEMBER
17311 HWY 127
LA MONTE MO 65337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2015
Organization Incorporation State MO
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
Signature Title
Signature Date

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