FORM 1023-EZ for THE BEAR PANTRY

Field Data
EIN 81-4365385
Case Number EO-2016315-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BEAR PANTRY
Organization’s Mailing Address 1125 JACKSON ST
City ALBANY
State CA
ZIP 94706
Accounting period End 6
Primary contact name MIE ELISSA SATO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIE SATO
DIRECTOR
1125 JACKSON ST
ALBANY CA 94706

Officer/Director/Trustee Two

KORET MULDER
DIRECTOR
1125 JACKSON ST
ALBANY CA 94706

Organization’s website HTTP://THEBEARPANTRYATBERKELEY.ORG/INDEX.HTML
Organization’s email THEBEARPANTRY@BERKELEY.EDU
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2009
Organization Incorporation State CA
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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