FORM 1023-EZ for WESTWOOD NEIGHBORHOOD FOOD PANTRY

Field Data
EIN 83-3544661
Case Number EO-2019071-000859
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTWOOD NEIGHBORHOOD FOOD PANTRY
Organization’s Mailing Address 538 NICHOLS ROAD
City KALAMAZOO
State MI
ZIP 49006
Accounting period End 12
Primary contact name BETH MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH MITCHELL
PRESIDENT
3813 ROCKWOOD DRIVE
KALAMAZOO MI 49004

Officer/Director/Trustee Two

NANCY VANDENBRINK
TREASURER
804 LANDSDOWNE
PORTAGE MI 49002

Officer/Director/Trustee Three

BRENDA TIEFENTHAL
VICE PRESIDENT
5169 DEERLAND STREET
KALAMAZOO MI 49004

Officer/Director/Trustee Four

DONNA BLAIR
SECRETARY
4817 WESTON AVENUE
KALAMAZOO MI 49006

Officer/Director/Trustee Five

LOUISE JAMESON
VOTING MEMBER
3702 GLENGARRY
KALAMAZOO MI 49004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State MI
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 BETH MITCHELL
Signature Title PRESIDENT
Signature Date 3/10/19

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