FORM 1023-EZ for PEER PANTRY HEALTH

Field Data
EIN 82-4086697
Case Number EO-2019317-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEER PANTRY HEALTH
Organization’s Mailing Address 22681 COULTER AVE
City EUCLID
State OH
ZIP 44117
Accounting period End 12
Primary contact name MARCUS COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUANITA BIGGINS
SECRETARY
4031 MONTGOMERY DR
LORAIN OH 44053

Officer/Director/Trustee Two

MARY JOHNSON
TRUSTEE
20950 WESTPORT AVENUE
EUCLID OH 44123

Officer/Director/Trustee Three

SHARON MURRAY
TRUSTEE
1088 E 174TH
CLEVELAND OH 44119

Officer/Director/Trustee Four

MARCUS COLEMAN
EXECUTIVE DIRECTOR
22681 COULTER AVE
EUCLID OH 44117

Officer/Director/Trustee Five

SYLVIA WALKER
TREASURER
22681 COULTER AVE
EUCLID OH 44117

Organization’s website
Organization’s email MCOLEMAN@PEERPANTRYCLE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 MARCUS COLEMAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/11/19

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