FORM 1023-EZ for SHANNON COUNTY FOOD PANTRY

Field Data
EIN 38-4116302
Case Number EO-2019120-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHANNON COUNTY FOOD PANTRY
Organization’s Mailing Address 18245 SECOND ST
City WINONA
State MO
ZIP 65588
Accounting period End 12
Primary contact name EARLENE CRIDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARLENE CRIDER
MANAGER/TREASURER
8445 CTY RD 446
WINONA MO 65588

Officer/Director/Trustee Two

ESTELLA WALLACE
PRESIDENT
7569 N WALL ST
BIRCH TREE MO 65438

Officer/Director/Trustee Three

TINA EDWARDS
COORDINATOR
18339 HAYDEN ST
WINONA MO 65588

Officer/Director/Trustee Four

LINDA VANWINKLE
VICE PRESIDENT
9478 CR443
WINONA MO 65588

Officer/Director/Trustee Five

KARMA BLUNKALL
SECRATARY
8543 HOOVER ST
WINONA MO 65588

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/19
Organization Incorporation State MO
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 EARLENE CRIDER
Signature Title MANAGER/TREASURER
Signature Date 4/25/19

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