FORM 1023-EZ for PERRY FOOD PANTRY INC

Field Data
EIN 61-1936575
Case Number EO-2020155-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERRY FOOD PANTRY INC
Organization’s Mailing Address 320 1/2 N 6TH
City PERRY
State OK
ZIP 73077
Accounting period End 12
Primary contact name JOSHUA BEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA BELL
CHAIRPERSON
706 JACKSON STREET
PERRY OK 73077

Officer/Director/Trustee Two

CONNIE HENDERSON
SECRETARY
1401 N 9TH STREET
PERRY OK 73077

Officer/Director/Trustee Three

KIM SHEETS
TREASURER
22350 COUNTY ROAD 170
PERRY OK 73077

Officer/Director/Trustee Four

PETER OLSON
MINISTERIAL ALLIANCE PRESIDENT
980 S 4TH STREET
PERRY OK 73077

Officer/Director/Trustee Five

DOUG GOTTSCHALK
BOARD OFFICER
13450 FRONTIER
PERRY OK 73077

Organization’s website
Organization’s email PERRYFOODPANTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2019
Organization Incorporation State OK
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 JOSHUA BELL
Signature Title CHAIRPERSON
Signature Date 6/1/2020

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