FORM 1023-EZ for GUILDERLAND FOOD PANTRY

Field Data
EIN 81-1112737
Case Number EO-2017299-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GUILDERLAND FOOD PANTRY
Organization’s Mailing Address 2291 WESTERN AVE
City GUILDERLAND
State NY
ZIP 12084
Accounting period End 12
Primary contact name MARK HOPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEWART PATTISON
CHAIRPERSON
2291 WESTERN AVE
GUILDERLAND NY 12084

Officer/Director/Trustee Two

JEFFERY PERLEE
VICE CHAIR
PO BOX 475
ALTAMONT NY 12009

Officer/Director/Trustee Three

BRIAN RUTHERFORD
BOARD MEMBER
10 ROBINHOOD RD
ALBANY NY 12303

Officer/Director/Trustee Four

MAUREEN SERAFINI
SECRETARY
2022 PHILOMENA DR
SCHENECTADY NY 12303

Officer/Director/Trustee Five

MARK HOPPER
BOARD
1628 ANGELINA TERR
SCHENECTADY NY 12303

Organization’s website GUILDERLANDFOODPANTRY.COM
Organization’s email GUILDFOODPANTRY79@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2015
Organization Incorporation State NY
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
Signature Title
Signature Date

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