FORM 1023-EZ for PANTRY OF HOPE

Field Data
EIN 83-1162867
Case Number EO-2018282-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANTRY OF HOPE
Organization’s Mailing Address 3975 E PRIEN LAKE RD
City LAKE CHARLES
State LA
ZIP 70615
Accounting period End 12
Primary contact name VALERIE JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE WILLIAMS
DIRECTOR
1064 WHIPPOORWILL DR
LAKE CHARLES LA 70611

Officer/Director/Trustee Two

JANISE WILLIAMS WILLIAMS
ASSISTANT DIRECTOR
151 CHARLIE WILLIAMS ROAD
RAGLEY LA 70657

Officer/Director/Trustee Three

CHARLIE WILLIAMS III
BOARD MEMBER
151 CHARLIE WILLIAMS ROAD
RAGLEY LA 70657

Officer/Director/Trustee Four

CHARLIE WILLIAMS IV
BOARD MEMBER
151 CHARLIE WILLIAMS ROAD
RAGLEY LA 70657

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/18
Organization Incorporation State LA
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 VALERIE WILLIAMS
Signature Title DIRECTOR
Signature Date 10/5/18

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