FORM 1023-EZ for HARMONY FOOD PANTRY INC

Field Data
EIN 85-3863623
Case Number EO-2021078-000980
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARMONY FOOD PANTRY INC
Organization’s Mailing Address 42 E MAIN STREET
City WATERLOO
State NY
ZIP 13165
Accounting period End 12
Primary contact name JOSH MCKIMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH MCKIMM
PRESIDENT
29 STEWART STREET
WATERLOO NY 13165

Officer/Director/Trustee Two

SAMANTHA CLEMENSON
SECRETARY
2001 GILBERT RD
OVID NY 14521

Officer/Director/Trustee Three

CANDIE MCKIMM
TREASURER
3232 RITTER RD
WATERLOO NY 13165

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2020
Organization Incorporation State NY
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 Yes
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 Yes
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 JOSH MCKIMM
Signature Title PRESIDENT
Signature Date 1/21/2021

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