FORM 1023-EZ for HEBRON COMMUNITY FOOD PANTRY

Field Data
EIN 83-4602517
Case Number EO-2019127-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEBRON COMMUNITY FOOD PANTRY
Organization’s Mailing Address 9805 IL ROUTE 173
City HEBRON
State IL
ZIP 60034
Accounting period End 12
Primary contact name BOBETTE VON BERGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBETTE VON BERGEN
DIRECTOR/CHAIRPERSON
9805 IL ROUTE 173
HEBRON IL 60034

Officer/Director/Trustee Two

KEN WINKELMAN
DIRECTOR/CO-CHAIRPERSON
14516 GREEN VALLEY DRIVE
HARVARD IL 60033

Officer/Director/Trustee Three

JAN WINKELMAN
DIRECTOR/SECRETARY/TREASURER
14516 GREEN VALLEY DRIVE
HARVARD IL 60033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State IL
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 BOBETTE VON BERGEN
Signature Title DIRECTOR/CHAIRPERSON
Signature Date 5/3/19

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