FORM 1023-EZ for WESTVILLE AREA FOOD PANTRY

Field Data
EIN 80-0913672
Case Number EO-2014310-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTVILLE AREA FOOD PANTRY
Organization’s Mailing Address 107 FLYNN ROAD
City WESTVILLE
State IN
ZIP 46391
Accounting period End 12
Primary contact name SHERYL ELLIOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERYL ELLIOTT
MANAGER
7244 W 500 S
LA PORTE IN 46350-9575

Officer/Director/Trustee Two

DEBRA DAUGHERTY
ASST MANAGER
PO BOX 499
WESTVILLE IN 46391

Officer/Director/Trustee Three

ANNE MARIE SCHOTT
OFFICER
1608 N CIRCLE VIEW LANE
LA PORTE IN 46350

Officer/Director/Trustee Four

MARY LOU COULTER
OFFICER
59 FLYNN ROAD
WESTVILLE IN 46391

Officer/Director/Trustee Five

BRENDA VANN
OFFICER
PO BOX 564
WESTVILLE IN 46391

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2013
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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