FORM 1023-EZ for POLAND COMMUNITY FOOD BANK

Field Data
EIN 83-3216710
Case Number EO-2019224-000509
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLAND COMMUNITY FOOD BANK
Organization’s Mailing Address 1208 MAINE ST
City POLAND
State ME
ZIP 4274
Accounting period End 12
Primary contact name PAMELA AUGUST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA AUGUST
SECTATERY
47 BELANGER DR
POLAND ME 4274

Officer/Director/Trustee Two

SHARON BAZINET
VICE PRESIDENT
3 JULIE ST
POLAND ME 4274

Officer/Director/Trustee Three

SHERON ANDREWS
PRESIDENT
222 TIGER HILL RD
POLAND ME 4274

Officer/Director/Trustee Four

MARLENE CUMMINGS
TREASURER
463 BAKERSTOWN RD
POLAND ME 4274

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/17
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 PAMELA AUGUST
Signature Title SECTATERY
Signature Date 8/9/19

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