FORM 1023-EZ for NORTHEAST JEFFERSON COUNTY FOOD PANTRY INC

Field Data
EIN 26-4451684
Case Number EO-2017215-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST JEFFERSON COUNTY FOOD PANTRY INC
Organization’s Mailing Address 3131 SCIO RD SW
City CARROLLTON
State OH
ZIP 44615-9511
Accounting period End 12
Primary contact name ROBIN WARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONNIE SHOCKLEY
PRESIDENT
3131 SCIO RD SW
CARROLLTON OH 44615-9511

Officer/Director/Trustee Two

KATHY WARNER
VICE PRESIDENT
3131 SCIO RD SW
CARROLLTON OH 44615-9511

Officer/Director/Trustee Three

DIXIE SALTSMAN
SECRETARY
3131 SCIO RD SW
CARROLLTON OH 44615-9511

Officer/Director/Trustee Four

BONNIE SHOCKLEY
TREASURER
3131 SCIO RD SW
CARROLLTON OH 44615-9511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2009
Organization Incorporation State OH
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
Signature Title
Signature Date

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