FORM 1023-EZ for PARKE COUNTY COMMUNITY FOOD PANTRYINCORPORATED

Field Data
EIN 35-2122014
Case Number EO-2021155-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARKE COUNTY COMMUNITY FOOD PANTRYINCORPORATED
Organization’s Mailing Address PO BOX 222
City ROCKVILLE
State IN
ZIP 47872
Accounting period End 12
Primary contact name CONNIE NORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE NORMAN
PRESIDENT
4167 E TRUMAN LANE
HILLSDALE IN 47854

Officer/Director/Trustee Two

KEITH MCINTYRE
VICE PRESIDENT
760 N JEFFERSON ST
MONTEZUMA IN 47862

Officer/Director/Trustee Three

JANETTE ALLEN
SECRETARY TREASURER
750 W CARDINAL LANE
ROCKVILLE IN 47872

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2000
Organization Incorporation State IN
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CONNIE NORMAN
Signature Title PRESIDENT
Signature Date 6/3/2021

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