FORM 1023-EZ for COLLINS FOOD PANTRY
| Field | Data |
|---|---|
| EIN | 85-0738677 |
| Case Number | EO-2020128-000171 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COLLINS FOOD PANTRY |
| Organization’s Mailing Address | 2220 BOLTON ROAD NW |
| City | ATLANTA |
| State | GA |
| ZIP | 30318 |
| Accounting period End | 12 |
| Primary contact name | SARAH ROSENBERG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SARAH ROSENBERG
CEO
1914 LOMITA ROAD SE
ATLANTA GA 30316
Officer/Director/Trustee Two
DONALD PENOVI
CFO
2328 THOMAS DRIVE
ATLANTA GA 30318
Officer/Director/Trustee Three
KEVIN MCFEELEY
DIRECTOR
2091 LIBERTY COURT NW
ATLANTA GA 30318
Officer/Director/Trustee Four
THERESA COLEMAN
DIRECTOR
2224 BOLTON ROAD NW
ATLANTA GA 30318
Officer/Director/Trustee Five
WILHEMENIA BOWEN
DIRECTOR
2334 STEVENS STREET NW
ATLANTA GA 30318
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/20/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SARAH ROSENBERG |
| Signature Title | CEO |
| Signature Date | 5/5/2020 |
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