FORM 1023-EZ for TRI-CITY FOOD PANTRY
| Field | Data |
|---|---|
| EIN | 81-3241050 |
| Case Number | EO-2016246-000143 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TRI-CITY FOOD PANTRY |
| Organization’s Mailing Address | PO BOX 461214 |
| City | PAPILLION |
| State | NE |
| ZIP | 68046 |
| Accounting period End | 12 |
| Primary contact name | JERI LYNN HUNTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CONNIE SHATTUCK
DIRECTOR
2331 BROADWATER DRIVE
PAPILLION NE 68046
Officer/Director/Trustee Two
AMY ROGERSON
BOARD CHAIRMAN
12421 S 78TH STREET
PAPILLION NE 68046
Officer/Director/Trustee Three
CURTIS RAINGE
VICE CHAIRMAN
505 CORDES DRIVE
PAPILLION NE 68046
Officer/Director/Trustee Four
SUSAN DORLAND
TREASURER
813 HICKORY HILL CIRCLE
PAPILLION NE 68046
Officer/Director/Trustee Five
STEPHANIE MCILNAY
SECRETARY
11667 MEREDITH AVE
OMAHA NE 68164
| Organization’s website | HTTP://TRICITYPANTRY.ORG/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/1/2007 |
| Organization Incorporation State | NE |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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