FORM 1023-EZ for GODS PANTRY INC

Field Data
EIN 84-3367075
Case Number EO-2019296-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GODS PANTRY INC
Organization’s Mailing Address 885 MABEN AVENUE
City GARNER
State IA
ZIP 50438
Accounting period End 12
Primary contact name DEBBIE SCHUPANITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE SCHUPANITZ
PRESIDENT
560 GROVE AVENUE
GARNER IA 50438-1452

Officer/Director/Trustee Two

LINDA GROTE
VICE PRESIDENT
630 WEST 8TH STREET
GARNER IA 50438-1608

Officer/Director/Trustee Three

PAT TEETER
SECRETARY
11 WILDRIDGE ESTATES
GARNER IA 50438-1054

Officer/Director/Trustee Four

JOHN ROHLF
TREASURER
404 FAIRWAY CIRCLE
GARNER IA 50438-1038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/19
Organization Incorporation State IA
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 DEBBIE SCHUPANITZ
Signature Title PRESIDENT
Signature Date 10/21/19

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