FORM 1023-EZ for ROSE HILL CALVARY RD FOOD PANTRY

Field Data
EIN 47-3545036
Case Number EO-2020056-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSE HILL CALVARY RD FOOD PANTRY
Organization’s Mailing Address 525 CALVARY ROAD
City ROSE HILL
State VA
ZIP 24281
Accounting period End 12
Primary contact name JEFFREY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY WILLIAMS
PRESIDENT
525 CALVARY ROAD
ROSE HILL VA 24281

Officer/Director/Trustee Two

LILLIAN SHARPE
VICE PRESIDENT
PO BOX 517
ROSE HILL VA 24281

Officer/Director/Trustee Three

RONNIE SIZEMORE
TREASURER
525 CALVARY ROAD
ROSE HILL VA 24281

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2016
Organization Incorporation State VA
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFFREY WILLIAMS
Signature Title PRESIDENT
Signature Date 2/21/2020

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