FORM 1023-EZ for BURKEVILLE FOOD SHARE

Field Data
EIN 32-0619155
Case Number EO-2020049-000605
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURKEVILLE FOOD SHARE
Organization’s Mailing Address 163 US HIGHWAY 63 EAST
City BURKEVILLE
State TX
ZIP 75932
Accounting period End 12
Primary contact name JOSEPH W MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANNA FOMBY
BOARD CHAIR
132 EAST ST
BURKEVILLE TX 75932

Officer/Director/Trustee Two

DEBRA WHITE
BOARD VICE-CHAIR AND TREASURER
1205 FM 1415 SOUTH
WIERGATE TX 75977

Officer/Director/Trustee Three

BARBIE LAKEY
BOARD SECRETARY
639 COUNTY ROAD 1101
WIERGATE TX 75977

Officer/Director/Trustee Four

NETTIE BROOKS
BOARD VOLUNTEER COORDINATOR
1623 US HIGHWAY 63 WEST
WIERGATE TX 75977

Officer/Director/Trustee Five

JOSEPH MILLER
LIAISON
911 MCMAHON
NEWTON TX 75966

Organization’s website
Organization’s email JOE_MILLER@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State TX
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH MILLER
Signature Title LIAISON
Signature Date 2/15/2020

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