FORM 1023-EZ for LAKE WACCAMAW FOOD MINISTRY

Field Data
EIN 84-3641334
Case Number EO-2019318-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE WACCAMAW FOOD MINISTRY
Organization’s Mailing Address PO BOX 202
City LAKE WACCAMAW
State NC
ZIP 28450
Accounting period End 12
Primary contact name ANN EDENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYLVIA PATTON
CHAIRMAN
710 BELLA COOLA
LAKE WACCAMAW NC 28450

Officer/Director/Trustee Two

HERBERT WELLS
VICE-CHAIRMAN
PO BOX 167
LAKE WACCAMAW NC 28450

Officer/Director/Trustee Three

DONNA ASKEW
SECRETARY
100 EAST WHITE OAK ST
LAKE WACCAMAW NC 28450

Officer/Director/Trustee Four

LORI HOTTE
TREASURER
5701 SAM POTTS HWY
HALLSBORO NC 28442

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/19
Organization Incorporation State NC
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: Yes
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 SYLVIA PATTON
Signature Title CHAIRMAN
Signature Date 11/11/19

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