FORM 1023-EZ for THE COMMUNITY FOOD PANTRY OF SLEEPYHOLLOW - TARRYTOWN

Field Data
EIN 45-2599486
Case Number EO-2014356-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE COMMUNITY FOOD PANTRY OF SLEEPYHOLLOW - TARRYTOWN
Organization’s Mailing Address 43 SOUTH BROADWAY
City TARRYTOWN
State NY
ZIP 10591-4012
Accounting period End 12
Primary contact name KEN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERISE LEVINE
PRESIDENT
18 KINGS GRANT WAY
BRIARCLIFF MANOR NY 10510-2521

Officer/Director/Trustee Two

KENNETH JOHNSON
TREASURER
76 WHIPPOORWILL LAKE ROAD
CHAPPAQUA NY 10514-2314

Officer/Director/Trustee Three

RACHELLE GEBLER
VICE PRESIDENT
25 MERLIN AVE
SLEEPY HOLLOW NY 10591-1606

Officer/Director/Trustee Four

JANICE LANDRUM
VICE PRESIDENT
469 1-2 MUNROE AVENUE
SLEEPY HOLLOW NY 10591-1610

Officer/Director/Trustee Five

SUSAN COPLY
VICE PRESIDENT
43 S BROADWAY
SLEEPY HOLLOW NY 10591-4012

Organization’s website HTTP://WWW.COMMUNITYFOODPANTRYSHTT.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2011
Organization Incorporation State NY
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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