FORM 1023-EZ for LOWELL COMMUNITY FOOD BANK

Field Data
EIN 47-2530331
Case Number EO-2014349-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOWELL COMMUNITY FOOD BANK
Organization’s Mailing Address 5218 S 2ND AVE
City EVERETT
State WA
ZIP 98203
Accounting period End 7
Primary contact name SHELLY WARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SEQUOIA WARNER
DIRECTOR
124 AVE B
SNOHOMISH WA 98290

Officer/Director/Trustee Two

MARGARET CARMEN
SECRETARY
4711 CASTLE LANE
EVERETT WA 98203

Officer/Director/Trustee Three

JULIE WENNBERG
PRESIDENT
5501 S 4TH AVE
EVERETT WA 98303

Organization’s website WWW.FACEBOOK.COM/GROUPS/LOWELLCOMMUNITYFOODBANK
Organization’s email LOWELLFOODBANK@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2014
Organization Incorporation State WA
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 Yes
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
Signature Title
Signature Date

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