FORM 1023-EZ for FOODIVERSITY

Field Data
EIN 86-2607349
Case Number EO-2021100-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOODIVERSITY
Organization’s Mailing Address 207 KENWAY LOOP
City MOORESVILLE
State NC
ZIP 28117-8410
Accounting period End 6
Primary contact name MATTHEW KAIN-AUTHORIZED REPRESENTAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY PAKE
DIRECTOR, CHAIR & PRESIDENT
207 KENWAY LOOP
MOORESVILLE NC 28117-8410

Officer/Director/Trustee Two

MARCUS THOMAS
DIRECTOR & VICE PRESIDENT
403 HIDDEN BROOK LANE
GREENSBORO NC 27405-9755

Officer/Director/Trustee Three

MAUREEN SCOTT
DIRECTOR & SECRETARY
306 MCCRARY ROAD
MOORESVILLE NC 28117-8871

Officer/Director/Trustee Four

GINGER MISSERT
DIRECTOR & TREASURER
140 MARINER POINTE LANE
MOORESVILLE NC 28117-8845

Officer/Director/Trustee Five

REED PAKE
DIRECTOR
1 INDIA STREET - APT 3N
BOSTON MA 02109-3301

Organization’s website WWW.FACEBOOK.COM/CAROLINAFOODIVERSITY
Organization’s email INFO@CAROLINAFOODIVERSITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2021
Organization Incorporation State NC
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 WENDY PAKE
Signature Title DIRECTOR, CHAIR & PRESIDENT
Signature Date 3/26/2021

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