FORM 1023-EZ for TRI-BORO FOOD PANTRY

Field Data
EIN 81-1480802
Case Number EO-2016112-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-BORO FOOD PANTRY
Organization’s Mailing Address 65 PASCACK ROAD
City PARK RIDGE
State NJ
ZIP 07656
Accounting period End 12
Primary contact name PETER G BOWEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REV LARISSA ROMERO
DIRECTOR
65 PASCACK RD
PARK RIDGE NJ 07656

Officer/Director/Trustee Two

REV MARC STUTZEL
DIRECTOR
32 PASCACK RD
WOODCLIFF LAKE NJ 07677

Officer/Director/Trustee Three

REV MARK SURIANO
DIRECTOR
313 PASCACK RD
PARK RIDGE NJ 07656

Officer/Director/Trustee Four

REV CHARLES GRANSTRAND
DIRECTOR
2 FREMONT AVE
PARK RIDGE NJ 07656

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2016
Organization Incorporation State NJ
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
Signature Title
Signature Date

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