FORM 1023-EZ for MARCYS PANTRY

Field Data
EIN 84-4452557
Case Number EO-2020049-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARCYS PANTRY
Organization’s Mailing Address N9046 COUNTY ROAD H-33
City CURTIS
State MI
ZIP 49820
Accounting period End 12
Primary contact name ETHEL M WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STUART ERICKSON
PRESIDENT
N9046 COUNTY ROAD H-33
CURTIS MI 49820

Officer/Director/Trustee Two

ETHEL WELLS
VICE-PRESIDENT
N9119 SPRANG ROAD
CURTIS MI 49820

Officer/Director/Trustee Three

PEGGY ERICKSON
SECRETARY
N9046 COUNTY ROAD H-33
CURTIS MI 49820

Officer/Director/Trustee Four

KELLY CHAMBERLIN
TREASURFER
N9450 COUNTY ROAD H-33
CURTIS MI 49820

Officer/Director/Trustee Five

SUSAN PANN
TRUSTEE
N8864 COUNTY ROAD H-33
CURTIS MI 49820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2019
Organization Incorporation State MI
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 Yes
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 ETHEL WELLS
Signature Title VICE-PRESIDENT
Signature Date 2/15/2020

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