FORM 1023-EZ for MOUNTAIN FOLK FOOD BANK

Field Data
EIN 82-3230744
Case Number EO-2018197-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN FOLK FOOD BANK
Organization’s Mailing Address 3181 IOWA HILL RD
City IOWA HILL
State CA
ZIP 95713
Accounting period End 1
Primary contact name CRAIG LAVANWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRISCILLA DANIELS
PRESIDENT, DIRECTOR
3181 IOWA HILL RD
IOWA HILL CA 95713

Officer/Director/Trustee Two

CRAIG LAVANWAY
SECRETARY, DIRECTOR
PO BOX 1006
COLFAX CA 95713

Officer/Director/Trustee Three

DAWN TROUT
TREASURER, DIRECTOR
PO BOX 3223
IOWA HILL CA 95713

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 CRAIG LAVANWAY
Signature Title SECRETARY, DIRECTOR
Signature Date 7/13/18

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