FORM 1023-EZ for ACTION FOOD PANTY

Field Data
EIN 20-3506759
Case Number EO-2017135-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTION FOOD PANTY
Organization’s Mailing Address 17880 E COVINA BLVD
City COVINA
State CA
ZIP 91722
Accounting period End 12
Primary contact name CHERYL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JOHNSON
PRESIDENT
1359 E COVINA BLVD
COVINA CA 91724

Officer/Director/Trustee Two

DIANA HOWARD
VICE PRESIDENT
311 S CITRUS AVE
WEST COVINA CA 91791

Officer/Director/Trustee Three

ARMIDA FITZGERALD
SECRETARY
15646 N HUDSON AVE
LA PUENTE CA 91744

Officer/Director/Trustee Four

ROBERT ORDONEZ
TREASURER
219 S MEADOW RD
WEST COVINA CA 91791

Officer/Director/Trustee Five

CHERYL MILLER
DIRECTOR
1241 N FAIRVALE AVE
COVINA CA 91722

Organization’s website WWW.ACTIONTOGETHER.INFO
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2005
Organization Incorporation State CA
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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