FORM 1023-EZ for SIMPLE NEEDS COMMUNITY FOOD PANTRY INC

Field Data
EIN 81-4998532
Case Number EO-2017152-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMPLE NEEDS COMMUNITY FOOD PANTRY INC
Organization’s Mailing Address 402 CADDY DRIVE
City DINGESS
State WV
ZIP 25671
Accounting period End 12
Primary contact name CHERYL TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL TAYLOR
FOUNDER/EX.DIRECTOR
402 CADDY DRIVE
DINGESS WV 25671

Officer/Director/Trustee Two

SAMANTHA WILSON
DIRECTOR OF COMMUNICATIONS
PO BOX 3
DINGESS WV 25671

Officer/Director/Trustee Three

CHRISTA BAISDEN
DIRECTOR NETWORK RELATIONS
79 CADDY DRIVE
DINGESS WV 25671

Officer/Director/Trustee Four

PATTY RIFFE
SECRETARY/TREASURE
167 MOSES FORK
DINGESS WV 25671

Officer/Director/Trustee Five

GREGORY TAYLOR
EMERITUS PASTOR
402 CADDY DRIVE
DINGESS WV 25671

Organization’s website
Organization’s email SNFOODPANTRY@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State WV
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: Yes
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 Yes
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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