FORM 1023-EZ for LOUISVILLE COMMUNITY FOOD PANTRY INC

Field Data
EIN 83-4557058
Case Number EO-2019128-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISVILLE COMMUNITY FOOD PANTRY INC
Organization’s Mailing Address P O BOX 31
City LOUISVILLE
State GA
ZIP 30434
Accounting period End 12
Primary contact name JOHN R MURPHY III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA SCOTT
CEO
1122 DUFFERS LANE
LOUISVILLE GA 30434

Officer/Director/Trustee Two

WILLIAM VALDUGA
CFO
PO BOX 401
LOUISVILLE GA 30434

Officer/Director/Trustee Three

AMY JONES
SECRETARY
PO BOX 224
LOUISVILLE GA 30434

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
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 WILLIAM VALDUGA
Signature Title CFO
Signature Date 5/6/19

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