FORM 1023-EZ for TLC FOOD PANTRY INCORPORATED

Field Data
EIN 83-4698585
Case Number EO-2019133-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TLC FOOD PANTRY INCORPORATED
Organization’s Mailing Address 401 5TH ST NORTH
City ST PETERSBURG
State FL
ZIP 33701
Accounting period End 12
Primary contact name ALAN CAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNNE TALLON
PRESIDENT
401 5TH STREET NORTH
ST PETERSBURG FL 33701

Officer/Director/Trustee Two

ALAN CAMP
VICE PRESIDENT
201 4TH STREET SOUTH UNIT 600
ST PETERSBURG FL 33701

Officer/Director/Trustee Three

RUTH KINSEY
VICE PRESIDENT
151 7TH STREET SOUTH UNIT 806
ST PETERSBURG FL 33701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State FL
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 ALAN CAMP
Signature Title VICE PRESIDENT
Signature Date 5/9/19

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