FORM 1023-EZ for WILLIAMSPORT FOOD BANK INC

Field Data
EIN 38-4091875
Case Number EO-2019158-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAMSPORT FOOD BANK INC
Organization’s Mailing Address 28 N CONOCHEAGUE STREET
City WILLIAMSPORT
State MD
ZIP 21795
Accounting period End 12
Primary contact name MARK SANDELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA CHURCH
PRESIDENT
25 E CHURCH STREET
WILLIAMSPORT MD 21795

Officer/Director/Trustee Two

JEFF SHULL
VICE PRESIDENT
16505 VIRGINIA AVE
WILLIAMSPORT MD 21795

Officer/Director/Trustee Three

JENNIFER DEPALMA
SECRETARY
17 PATAPSCO CIRCLE
FALLING WATERS MD 25419

Officer/Director/Trustee Four

MARK SANDELL
TREASURER
10813 DONELSON DRIVE
WILLIAMSPORT MD 21795

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: Yes
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 MARK SANDELL
Signature Title TREASURER
Signature Date 6/5/19

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