FORM 1023-EZ for FIVE LOAVES PANTRY
| Field | Data |
|---|---|
| EIN | 85-0857640 |
| Case Number | EO-2020143-000300 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FIVE LOAVES PANTRY |
| Organization’s Mailing Address | PO BOX 1758 |
| City | DELTA JUNCTION |
| State | AK |
| ZIP | 99373-1758 |
| Accounting period End | 12 |
| Primary contact name | LACI JACQUES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LACI JACQUES
PRESIDENT
PO BOX 31508
FORT GREELY AK 99731
Officer/Director/Trustee Two
SEBASTIAN SAARLOOS
VICE-PRESIDENT
PO BOX 197
DELTA JUNCTION AK 99737
Officer/Director/Trustee Three
DAWN EDGEWORTH
SECRETARY
PO BOX 31274
FORT GREELY AK 99731
Officer/Director/Trustee Four
ANA BRYANT
TREASURER
PO BOX 31474
FORT GREELY AK 99731
| Organization’s website | WWW.FIVELOAVESDJ.WORDPRESS.COM |
|---|---|
| Organization’s email | FIVESLOAVESPANTRYDJ@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/28/2020 |
| Organization Incorporation State | AK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| 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 | Yes |
| 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 | LACI JACQUES |
| Signature Title | PRESIDENT |
| Signature Date | 5/20/2020 |
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