FORM 1023-EZ for GODS FOOD PANTRY

Field Data
EIN 47-2027187
Case Number EO-2015027-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GODS FOOD PANTRY
Organization’s Mailing Address 170 NUMBER 3 HILL
City JENKINS
State KY
ZIP 41537
Accounting period End 12
Primary contact name CHRIS GOOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID LITTLE
PRESIDENT
170 NUMBER 3 HILL
JENKINS KY 41537

Officer/Director/Trustee Two

KENNETH BLAIR
TREASURER
159 NUMBER 3 HILL
JENKINS KY 41537

Officer/Director/Trustee Three

RENEE VAN DYKE
SECRETARY
158 NUMBER 3 HILL
JENKINS KY 41537

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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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