FORM 1023-EZ for THAYNE COMMUNITY FOOD BANK

Field Data
EIN 45-3714232
Case Number EO-2014280-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THAYNE COMMUNITY FOOD BANK
Organization’s Mailing Address PO BOX 234
City THAYNE
State WY
ZIP 83127
Accounting period End 12
Primary contact name JULIE BUCKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE BUCKLEY
PRESISDENT
782 LODGE LANE
ALPINE WY 83128

Officer/Director/Trustee Two

DONNA ZUMBRUN
SECRETARY
PO BOX 918
THAYNE WY 83127

Officer/Director/Trustee Three

NORA SIMMONS
TREASURER
PO BOX 703
THAYNE WY 83127

Officer/Director/Trustee Four

DEE ROBERTS
VICE-PRESIDENT
265 COUNTRY CLUB WAY
THAYNE WY 83127

Officer/Director/Trustee Five

VIRGINIA RADFORD
DIRECTOR
PO BOX 859
THAYNE WY 83127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2011
Organization Incorporation State WY
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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