FORM 1023-EZ for WHITEFIELD FOOD PANTRY

Field Data
EIN 84-1993453
Case Number EO-2019186-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITEFIELD FOOD PANTRY
Organization’s Mailing Address 620 HEAD TIDE RD
City WHITEFIELD
State ME
ZIP 4353-3703
Accounting period End 12
Primary contact name KEITH SANBORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNE SHAW
PRESIDENT
430 HEATH RD
WHITEFIELD ME 4353

Officer/Director/Trustee Two

JANET OBER
TREASURER
123 PHILBRICK LANE
WHITEFIELD ME 4353

Officer/Director/Trustee Three

LISE NICKERSON
SECRETARY
743 HEAD TIDE HILL RD
WHITEFIELD ME 4353

Organization’s website
Organization’s email KRSANBORN@ROADRUNNER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State ME
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 JEANNE SHAW
Signature Title PRESIDENT
Signature Date 7/2/19

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