FORM 1023-EZ for THE RIVER OF LIFE FOOD PANTRY DBAWILSON FOOD BANK

Field Data
EIN 30-1244478
Case Number EO-2021211-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE RIVER OF LIFE FOOD PANTRY DBAWILSON FOOD BANK
Organization’s Mailing Address 952 REDWOOD
City WILSON
State OK
ZIP 73463
Accounting period End 12
Primary contact name JERRY GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM DUCK
PRESIDENT
PO BOX 995
LONE GROVE OK 73443

Officer/Director/Trustee Two

GARY BAKER
GENERAL MANAGER
303385 STATE HWY 53
HEALDTON OK 73438

Officer/Director/Trustee Three

PAUL UNDERWOOD
SECRETARY
PO BOX 713
HEALDTON OK 73438

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2018
Organization Incorporation State OK
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 PAUL UNDERWOOD
Signature Title SECRETARY
Signature Date 7/28/2021

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