| Field | Data |
|---|---|
| EIN | 85-4044770 |
| Case Number | EO-2021015-000127 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOMINION LIFE COMMUNITY PANTRY INC |
| Organization’s Mailing Address | 1161 REGALA ST |
| City | PERRIS |
| State | CA |
| ZIP | 92571 |
| Accounting period End | 12 |
| Primary contact name | ANITRIA OTIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ANITRIA OTIS
PRESIDENT
1161 REGALA ST
PERRIS CA 92571
JOSEPH OTIS
TREASURER
1161 REGALA ST
PERRIS CA 92571
DARRYL BADLEY
OUTREACH DIRECTOR
1750 LESA LIN DR
MONROE NC 28112
LISA STOVALL
MEMBER AT LARGE
371 E MESA DR
RIALTO CA 92376
EDWARD BROWN
MEMBER AT LARGE
25047 HARKER LN
MARINO VALLEY CA 92551
| Organization’s website | |
|---|---|
| Organization’s email | dominionlifeCP@gmail.com |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/25/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | No |
| 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 | ANITRIA OTIS |
| Signature Title | PRESIDENT |
| Signature Date | 11/25/2020 |
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