FORM 1023-EZ for BON HOMME FOOD PANTRY
| Field | Data |
|---|---|
| EIN | 83-4649015 |
| Case Number | EO-2019128-000168 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BON HOMME FOOD PANTRY |
| Organization’s Mailing Address | 105 EAST 17TH AVE |
| City | TYNDALL |
| State | SD |
| ZIP | 57066 |
| Accounting period End | 12 |
| Primary contact name | JANET WAGNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
REV CODY RAAK
COCHAIRMAN
1111 CHESTNUT
SPRINGFIELD SD 57062
Officer/Director/Trustee Two
REV LAURIE KIDD
COCHAIRMAN
204 1 ST STREET
WAGNER SD 57380
Officer/Director/Trustee Three
JULIE STEVENS
VICE CHAIRMAN
1504 LAUREL STREET
TYNDALL SD 57066
Officer/Director/Trustee Four
BEV ULMER
SECRETARY
240 NORTH STELLA STREET
TABOR SD 57063
Officer/Director/Trustee Five
JANET WAGNER
TREASURE
709 MAPLE STREET
TYNDALL SD 57066
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/1/14 |
| Organization Incorporation State | SD |
| 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 | JANET WAGNER |
| Signature Title | TREASURE |
| Signature Date | 5/6/19 |
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