FORM 1023-EZ for MICHELLES LITTLE FREE PANTRY INC

Field Data
EIN 83-4651489
Case Number EO-2019129-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHELLES LITTLE FREE PANTRY INC
Organization’s Mailing Address 102 WEBER CT
City FRANKLIN
State IN
ZIP 46131
Accounting period End 12
Primary contact name MICHELLE DAHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE DAHL
PRESIDENT
102 WEBER CT
FRANKLIN IN 46131

Officer/Director/Trustee Two

JULIA RILEY
VICE PRESIDENT
1582 W 400 N
FRANKLIN IN 46131

Officer/Director/Trustee Three

MICHAEL HOOKER
SECRETARY
8699 WESTFIELD BLVD
INDIANAPOLIS IN 46240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/19
Organization Incorporation State IN
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 JULIA RILEY
Signature Title VICE PRESIDENT
Signature Date 5/7/19

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