FORM 1023-EZ for HARRISON FOOD BANK

Field Data
EIN 82-1087262
Case Number EO-2017125-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARRISON FOOD BANK
Organization’s Mailing Address PO BOX 112
City HARRISON
State ME
ZIP 04040
Accounting period End 12
Primary contact name SANDRA SWETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CECIL BARKER
PRESIDENT
1277 NAPLES RD
HARRISON ME 04040

Officer/Director/Trustee Two

SANDRA SWETT
TREASURER
30 BROWN MILL RD
BRIDGTON ME 04009

Officer/Director/Trustee Three

KAREN PETTENGILL
SECRETARY
15 DAWES HILL RD
HARRISON ME 04040

Officer/Director/Trustee Four

MATTHEW FRANK
DIRECTOR
1355 NAPLES RD
HARRISON ME 04040

Officer/Director/Trustee Five

MARTHA HOLDEN
DIRECTOR
320 CHADBORNE HILL RD
BRIDGTON ME 04009

Organization’s website
Organization’s email HARRISONFOODBANK@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2016
Organization Incorporation State ME
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: 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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