FORM 1023-EZ for LAKE VILLAGE FOOD PANTRY

Field Data
EIN 30-1222268
Case Number EO-2020107-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE VILLAGE FOOD PANTRY
Organization’s Mailing Address 916 S LAKESHORE DRIVE
City LAKE VILLAGE
State AR
ZIP 71653
Accounting period End 12
Primary contact name NEILL SLOAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEILL SLOAN
PRESIDENT
916 S LAKESHORE DRIVE
LAKE VILLAGE AR 71653

Officer/Director/Trustee Two

GARY MATTHEWS
VICE PRESIDENT
916 S LAKESHORE DRIVE
LAKE VILLAGE AR 71653

Officer/Director/Trustee Three

BETH WHITE
TREASURER
916 S LAKESHORE DRIVE
LAKE VILLAGE AR 71653

Officer/Director/Trustee Four

JULIE FLORIANI
SECRETARY
916 S LAKESHORE DRIVE
LAKE VILLAGE AR 71653

Officer/Director/Trustee Five

SHIRLEY CATALINI
OFFICER
916 S LAKESHORE DRIVE
LAKE VILLAGE AR 71653

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2019
Organization Incorporation State AR
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: Yes
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 NEILL SLOAN
Signature Title PRESIDENT
Signature Date 4/14/2020

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