| Field | Data |
|---|---|
| EIN | 85-3130584 |
| Case Number | EO-2020274-000049 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BREAD OF LIFE SOUP KITCHEN AND FOODPANTRY |
| Organization’s Mailing Address | 102 PARLANGE DRIVE |
| City | HOUMA |
| State | LA |
| ZIP | 70360 |
| Accounting period End | 12 |
| Primary contact name | PERNELL PELLEGRIN CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MONIQUE HAGEN
DIRECTOR
102 PARLANGE DRIVE
HOUMA LA 70360
PHILLIP RUFFIN
DIRECTOR
801 BARROW STREET SUITE 201
HOUMA LA 70360
ANN RAMAGOS
DIRECTOR
616 ANSLEY PLACE COURT
HOUMA LA 70364
ANGELA ADAMS
DIRECTOR
6616 WEST PARK AVENUE
HOUMA LA 70364
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/23/2020 |
| Organization Incorporation State | LA |
| 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 | MONIQUE HAGEN |
| Signature Title | DIRECTOR |
| Signature Date | 9/28/2020 |
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