FORM 1023-EZ for FBC STANFIELD FOOD PANTRY

Field Data
EIN 82-5336682
Case Number EO-2019161-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FBC STANFIELD FOOD PANTRY
Organization’s Mailing Address 615 S STANFIELD RD PO BOX 250
City STANFIELD
State AZ
ZIP 85172
Accounting period End 12
Primary contact name JUSTINE WEIMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE GARCIA
DIRECTOR
PO BOX 340
STANFIELD AZ 85172

Officer/Director/Trustee Two

JUSTINE WEIMER
SECRETARY
8630 W CORONADO DR 2957
ARIZONA CITY AZ 85123

Officer/Director/Trustee Three

MARLENE HERNANDEZ
OFFICER
14621 N PALO VERDE DR
MARICOPA AZ 85138

Officer/Director/Trustee Four

MATTHEW GARCIA
OFFICER
POBOX 340
STANFIELD AZ 85172

Officer/Director/Trustee Five

LEEANN FEENSTRA
OFFICER
37816 BARNES RD
STANFIELD AZ 85172

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/19
Organization Incorporation State AZ
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUSTINE WEIMER
Signature Title SECRETARY
Signature Date 6/5/19

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