FORM 1023-EZ for HEALTHY PANTRY FOOD PROGRAM

Field Data
EIN 82-3281636
Case Number EO-2018186-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY PANTRY FOOD PROGRAM
Organization’s Mailing Address 2202 RIDGE AVENUE
City PHILADELPHIA
State PA
ZIP 19121
Accounting period End 11
Primary contact name ROHNDA JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROHNDA JAMES
CEO,FOUNDER
7530 BEVERLY ROAD
PHILADELPHIA PA 19138-1415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROHNDA JAMES
Signature Title CEO,FOUNDER
Signature Date 7/3/18

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