FORM 1023-EZ for DOVE CREEK CARE AND SHARE FOOD PANTRY INC

Field Data
EIN 81-0869831
Case Number EO-2017171-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOVE CREEK CARE AND SHARE FOOD PANTRY INC
Organization’s Mailing Address PO BOX 598
City DOVE CREEK
State CO
ZIP 81324
Accounting period End 12
Primary contact name KELSEY KEESLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSEY KEESLING
PRESIDENT
51591 HIGHWAY 491
CAHONE CO 81320

Officer/Director/Trustee Two

TIFFANY PARISI
SECRETARY
2056 ROAD P8
DOVE CREEK CO 81324

Officer/Director/Trustee Three

ANNE DEYELL LAWRENCE
TREASURER
13035 COUNTY ROAD P
CAHONE CO 81320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State CO
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 No
One Third Support Gifts Yes
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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