FORM 1023-EZ for FAIRVIEW HEIGHTS AREA FOOD PANTRY

Field Data
EIN 36-4689446
Case Number EO-2014230-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRVIEW HEIGHTS AREA FOOD PANTRY
Organization’s Mailing Address PO BOX 4657
City FAIRVIEW HEIGHTS
State IL
ZIP 62208
Accounting period End 12
Primary contact name RICHARD ERDMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEAN MILLER
PRESIDENT
107 BOUNTIFUL DR
FAIRVIEW HTS IL 62208

Officer/Director/Trustee Two

NANCY IDOUX
VICE PRESIDENT
316 JOSEPH DR
FAIRVIEW HTS IL 62208

Officer/Director/Trustee Three

EVELYN BARBEE
TREASURER
5500 IDA
BELLEVILLE IL 62223

Officer/Director/Trustee Four

ELIZABETH VOGT
SECRETARY
3400 KEIL
BELLEVILLE IL 62223

Officer/Director/Trustee Five

JO ANN NADLER
TRUSTEE
4094 BANBURY PLACE
SWANSEA IL 62226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/1988
Organization Incorporation State IL
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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