FORM 1023-EZ for PIK-NIK TABLE

Field Data
EIN 47-1013509
Case Number EO-2019234-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIK-NIK TABLE
Organization’s Mailing Address 259 SEA BREEZE DR
City BACLIFF
State TX
ZIP 77518-2772
Accounting period End 10
Primary contact name SARAH POLLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH POLLARD
MS.
259 SEA BREEZE DR
BACLIFF TX 77518-2772

Officer/Director/Trustee Two

BREA GLADNEY
MS.
2210 WEST DALLAS ST APT 1441
HOUSTON TX 77019

Officer/Director/Trustee Three

LANETTE LISTER-MOORE
MS.
12633 MEMORIAL DR APT 254
HOUSTON TX 77024

Organization’s website PIKNIKTABLE.ORG
Organization’s email LIZPOLLARD@YMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/17
Organization Incorporation State TX
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 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 SARAH POLLARD
Signature Title MS.
Signature Date 8/20/19

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