FORM 1023-EZ for SHIRLEY J HARRIS MEMORIAL FOOD PANTRY

Field Data
EIN 38-4049491
Case Number EO-2018051-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIRLEY J HARRIS MEMORIAL FOOD PANTRY
Organization’s Mailing Address 1107 BRIDGETON-MILLVILLE PIKE
City BRIDGETON
State NJ
ZIP 8302-7255
Accounting period End 12
Primary contact name MARILYN BRAXTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN BRAXTON
PRESIDENT
97 M L K JR WAY
BRIDGETON NJ 8302-2820

Officer/Director/Trustee Two

PAULA WARNER
VICE-PRESIDENT
638 FORDVILLE RD
BRIDGETON NJ 8302-7206

Officer/Director/Trustee Three

JUDITH MOSLEY
SECRETARY
544 GARTON RD
BRIDGETON NJ 8302-4856

Officer/Director/Trustee Four

SANDRA ALLEN
TREASURER
820 MARK DR
BRIDGETON NJ 8302-7201

Officer/Director/Trustee Five

MICHAEL K KEENE SR
DIRECTOR
1107 BRIDGETON-MILLVILLE PIKE
BRIDGETON NJ 8302-7255

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/15
Organization Incorporation State NJ
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 MICHAEL K KEENE SR
Signature Title DIRECTOR
Signature Date 2/15/18

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