FORM 1023-EZ for THE DC UNIVERSITY FOOD PANTRY

Field Data
EIN 83-0758293
Case Number EO-2018171-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DC UNIVERSITY FOOD PANTRY
Organization’s Mailing Address WEBB BUILDING 2100 FOXHALL ROAD
City WASHINGTON
State DC
ZIP 20007
Accounting period End 12
Primary contact name BENJAMIN YOXALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARALA DUCKWORTH
PRESIDENT
2100 F STREET NW ROOM 403
WASHINGTON DC 20052-68

Officer/Director/Trustee Two

TIMOTHY MILLER
CHAIRPERSON/TREASURER
606 POPLAR DRIVE
FALLS CHURCH VA 22046-2838

Officer/Director/Trustee Three

COLLEEN KELTY
VICE CHAIRPERSON
42 SLAB CITY ROAD
GRAFTON NH 3240-3823

Officer/Director/Trustee Four

HANNAH GROSVENOR
VICE PRESIDENT/SECRETARY
2109 F STREET ROOM 203
WASHINGTON DC 20052-2716

Officer/Director/Trustee Five

MAXWELL GOCALA
DIRECTOR
9006 MERLOT COURT
BRISTOW VA 20136-5808

Organization’s website
Organization’s email THEGWSTORE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State DC
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARALA DUCKWORTH
Signature Title PRESIDENT
Signature Date 6/6/18

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