FORM 1023-EZ for MOUNT HOREB AREA FOOD PANTRY INC

Field Data
EIN 80-0306739
Case Number EO-2015348-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT HOREB AREA FOOD PANTRY INC
Organization’s Mailing Address 102 E LINCOLN STREET BOX 204
City MOUNT HOREB
State WI
ZIP 53572
Accounting period End 12
Primary contact name MICHAEL PHARO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL PHARO
PRESIDENT / TREASURE
2235 COUNTY ROAD JG
MOUNT HOREB WI 53572

Officer/Director/Trustee Two

JOYCE REYNOLDS
SECRETARY
701 BROOKSTONE CREST
MOUNT HOREB WI 53572

Officer/Director/Trustee Three

CECILE MCMANUS
DIRECTOR
10920 SMOKEY MOUNTAIN TRAIL
BLUE MOUNDS WI 53517

Officer/Director/Trustee Four

BRENT YAUCHLER
DIRECTOR
809 EAST MAIN STREET
MOUNT HOREB WI 53572

Organization’s website WWW.FOOD-PANTRY.ORG
Organization’s email FOOD@FOOD-PANTRY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2008
Organization Incorporation State WI
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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