FORM 1023-EZ for ALBERTON COMMUNITY FOOD BANK

Field Data
EIN 26-4222497
Case Number EO-2017045-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALBERTON COMMUNITY FOOD BANK
Organization’s Mailing Address PO BOX 8
City ALBERTON
State MT
ZIP 59820-0008
Accounting period End 12
Primary contact name DIANE JODSAAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLEYO MATTHEWS
CHAIR
502 5TH ST
ALBERTON MT 59820

Officer/Director/Trustee Two

PATRICIA DAVIES
VICE CHAIR
502 5TH ST
ALBERTON MT 59820

Officer/Director/Trustee Three

DIANE JODSAAS
TREASURER
502 5TH ST
ALBERTON MT 59820

Officer/Director/Trustee Four

PATTY SAYLER
SECRETARY
502 5TH ST
ALBERTON MT 59820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2009
Organization Incorporation State MT
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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