FORM 1023-EZ for PROJECT FEED 100 MOBILE PANTRIES

Field Data
EIN 83-3818737
Case Number EO-2019126-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT FEED 100 MOBILE PANTRIES
Organization’s Mailing Address 3320 DEL MONTE BLVD SPACE 13
City MARINA
State CA
ZIP 93933
Accounting period End 12
Primary contact name ANN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN MOORE
PRESIDENT/DIRECTOR
3320 DEL MONTE BLVD SPACE 13
MARINA CA 93933

Officer/Director/Trustee Two

DARA HANSEN
TREASURER/DIRECTOR
9850 ROLLING MEADOWS LANE
PRUNEDALE CA 93907

Officer/Director/Trustee Three

DOROTHY JONES
SECRETARY/DIRECTOR
341 PASQUE AVE
GREENFIELD CA 93927

Organization’s website
Organization’s email ANNMMOORE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 ANN MOORE
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/3/19

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