FORM 1023-EZ for SHEPHERDS TENT FOOD PANTRY

Field Data
EIN 47-3092977
Case Number EO-2018303-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEPHERDS TENT FOOD PANTRY
Organization’s Mailing Address 1500 N 5TH AVENUE STE B
City LAUREL
State MS
ZIP 39440
Accounting period End 12
Primary contact name HAILE GADDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAILE GADDY
CEO/CHAIRMAN
1213 MILLSAPS DRIVE
LAUREL MS 39440

Officer/Director/Trustee Two

CURTIS HECK
VICE CHAIRMAN
250 TOWNSHIP ROAD
LAUREL MS 39440

Officer/Director/Trustee Three

HELEN SMITH
SECRETARY
858 N 7TH AVENUE
LAUREL MS 39440

Officer/Director/Trustee Four

ARIC PEPPERS
TREASURER
20 DOCS LANE
ELLISVILLE MS 39437

Officer/Director/Trustee Five

BETTY MCCARTHY
DIRECTOR
8 HEATHERWOOD DRIVE
LAUREL MS 39440

Organization’s website FEEDJONES.ORG
Organization’s email HGADDY@FEEDJONES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/15
Organization Incorporation State MS
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HAILE GADDY
Signature Title CEO/CHAIRMAN
Signature Date 10/26/18
EIN 47-3092977
Case Number EO-2015044-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHEPHERDS TENT FOOD PANTRY
Organization’s Mailing Address PO BOX 223
City LAUREL
State MS
ZIP 39441
Accounting period End 12
Primary contact name HAILE T GADDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAILE GADDY
CHIEF EXECUTIVE OFFICER
1213 MILLSAPS DRIVE
LAUREL MS 39440

Officer/Director/Trustee Two

ARIC PEPPERS
TREASURER
20 DOCS LANE
ELLISVILLE MS 39437

Officer/Director/Trustee Three

HAILE GADDY
CHAIRMAN
1213 MILLSAPS DRIVE
LAUREL MS 39440

Officer/Director/Trustee Four

CURTIS HECK
VICE CHAIRMAN
250 TOWNSHIP ROAD
LAUREL MS 39443

Officer/Director/Trustee Five

HELLEN SMITH
SECRETARY
858 N 7TH AVENUE
LAUREL MS 39440

Organization’s website SHEPHERDSTENTFP.ORG
Organization’s email HOPE@SHEPHERDSTENTFP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2015
Organization Incorporation State MS
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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