FORM 1023-EZ for PECATONICA COMMUNITY FOOD PANTRY
| Field | Data |
|---|---|
| EIN | 84-2110744 |
| Case Number | EO-2019172-000218 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PECATONICA COMMUNITY FOOD PANTRY |
| Organization’s Mailing Address | PO BOX 610 |
| City | PECATONICA |
| State | IL |
| ZIP | 61063 |
| Accounting period End | 6 |
| Primary contact name | JOHN MOYER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER DAVISON
PRESIDENT
13100 SPRINGHILL DR
WINNEBAGO IL 61088
Officer/Director/Trustee Two
JOHN MOYER
VICE-PRESIDENT
619 PARK VIEW ST
PECATONICA IL 61063
Officer/Director/Trustee Three
LORI PETERSON
SECRETARY
6234 N WINNEBAGO RD
PECATONICA IL 61063
Officer/Director/Trustee Four
JOHN STELTER
TREASURER
9245 N OAKLEAF CT
BYRON IL 61010
Officer/Director/Trustee Five
SUE MANGUS
BOARD
622 HIGH ST
PECATONICA IL 61063
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/17/19 |
| 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 | JOHN MOYER |
| Signature Title | VICE-PRESIDENT |
| Signature Date | 6/19/19 |
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