FORM 1023-EZ for FORK A MEAL

Field Data
EIN 85-3529232
Case Number EO-2021095-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORK A MEAL
Organization’s Mailing Address 1700 BASSETT ST APT 919
City DENVER
State CO
ZIP 80202
Accounting period End 12
Primary contact name BRICE FLAMANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRICE FLAMANT
PRESIDENT AND CHAIRMAN OF THE BOARD
1700 BASSETT ST APT 919
DENVER CO 80202

Officer/Director/Trustee Two

PRIYA SHAH
SECRETARY AND DIRECTOR
1700 BASSETT ST APT 919
DENVER CO 80202

Officer/Director/Trustee Three

BRENDAN MCNAB
TREASURER AND DIRECTOR
1700 BASSETT ST APT 919
DENVER CO 80202

Officer/Director/Trustee Four

ALEX RANK
DIRECTOR
1700 BASSETT ST APT 919
DENVER CO 80202

Officer/Director/Trustee Five

JIM BROWN
DIRECTOR
1700 BASSETT ST APT 919
DENVER CO 80202

Organization’s website WWW.FORKAMEAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 BRICE FLAMANT
Signature Title PRESIDENT AND CHAIRMAN OF THE BOARD
Signature Date 3/5/2021

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