FORM 1023-EZ for URYANS PANTRY DBA MASH PANTRY

Field Data
EIN 46-1713660
Case Number EO-2016350-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URYANS PANTRY DBA MASH PANTRY
Organization’s Mailing Address 829 BETHEL ROAD SUITE 201
City COLUMBUS
State OH
ZIP 43214
Accounting period End 12
Primary contact name AMBER HUDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER HUDSON
PRESIDENT DIRECTOR
6640 HUGHES ROAD
PROSPECT OH 43342

Officer/Director/Trustee Two

ELAINE FOWLER
VICE PRESIDENT
7100 UMBERTON ROAD
LARGO FL 33771

Officer/Director/Trustee Three

RALPH SMITH
TREASURER
5656 MARSHFIELD DRIVE
WESTERVILLE OH 43081

Officer/Director/Trustee Four

CATHLEEN RINEHART
PUBLIC RELATIONS
2735 COLUMBUS STREET
GROVE CITY OH 43123

Organization’s website WWW.MASHPANTRY.ORG
Organization’s email MASHPANTRY@GMAIL.COM INFO@MASHPANTRY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2012
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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