FORM 1023-EZ for THE STOREHOUSE FOOD PANTRY

Field Data
EIN 84-3239885
Case Number EO-2020090-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE STOREHOUSE FOOD PANTRY
Organization’s Mailing Address PO BOX 414
City MANCHESTER
State TN
ZIP 37349
Accounting period End 12
Primary contact name LAURIE CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STARIA DAVISON
PRESIDENT
1012 RAMSEY ROAD
MORRISON TN 37357

Officer/Director/Trustee Two

ROSETTA L KEELE
TREASURER
327 REDBUD CIRCLE
MANCHESTER TN 37355

Officer/Director/Trustee Three

CAROLYN CONSTATINE
SECRETARY
456 HICKORY DRIVE
MANCHESTER TN 37355

Officer/Director/Trustee Four

HARRY SKIPPER
VICE PRESIDENT
5748 SUMMITVILLE
MORRISON TN 37357

Officer/Director/Trustee Five

LAURIE CAMPBELL
VOLUNTEER COORDINATOR
773 HICKORY DRIVE
MANCHESTER TN 37355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State TN
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 STARIA DAVISON
Signature Title PRESIDENT
Signature Date 3/27/2020

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