FORM 1023-EZ for GOLDEN BRIDGES FOOD PANTRY

Field Data
EIN 84-5046881
Case Number EO-2021064-000888
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN BRIDGES FOOD PANTRY
Organization’s Mailing Address 1175 GREEN STREET
City CONYERS
State GA
ZIP 30012
Accounting period End 12
Primary contact name SHELTON SHATTEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELTON SHATTEEN
DIRECTOR
2109 SABLESHIRE WAY
CONYERS GA 30013

Officer/Director/Trustee Two

SHERRI BOSTON
SECRETARY
3186 EVANS MILL RD
STONECREST GA 30038

Officer/Director/Trustee Three

SALINIA SHATTEEN
TREASURER
2109 SABLESHIRE WAY
CONYERS GA 30013

Officer/Director/Trustee Four

GENE ONEAL
TRUSTEE
7101 ROCKLAND RD
LITHONIA GA 30038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State GA
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 No
Correctness Declaration Yes
Signature Name SHELTON SHATTEEN
Signature Title DIRECTOR
Signature Date 1/6/2021

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