FORM 1023-EZ for FOOD PANTRY OF CARROLL COUNTY INC

Field Data
EIN 47-1116289
Case Number EO-2015050-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOOD PANTRY OF CARROLL COUNTY INC
Organization’s Mailing Address PO BOX 265
City CARROLLTON
State KY
ZIP 41008
Accounting period End 12
Primary contact name RUTH H BAXTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS WHITE
PRESIDENT
401 HIGHLAND AVENUE
CARROLLTON KY 41008

Officer/Director/Trustee Two

ROBERT SMITH
VICE PRESIDENT
406 PARK AVENUE
CARROLLTON KY 41008

Officer/Director/Trustee Three

WILLIAM WELTY
TREASURER
313 SEVENTH STREET
CARROLLTON KY 41008

Officer/Director/Trustee Four

PAULA GOHS
DIRECTOR
507 FIFTH STREET
CARROLLTON KY 41008

Officer/Director/Trustee Five

JAMA SNYDER
SECRETARY
2600 CARLISLE ROAD
CARROLLTON KY 41008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2014
Organization Incorporation State KY
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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