FORM 1023-EZ for HOLLIS AVENUE FOOD PANTRY INC

Field Data
EIN 85-2721549
Case Number EO-2020244-000667
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLIS AVENUE FOOD PANTRY INC
Organization’s Mailing Address 116-11 NASHVILLE BLVD
City CAMBRIA HEIGHTS
State NY
ZIP 11411
Accounting period End 12
Primary contact name JAMES G THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES THOMAS
PRESIDENT
116-11 NASHVILLE BLVD
CAMBRIA HEIGHTS NY 11411-1534

Officer/Director/Trustee Two

NEIL MARS
TREASURER
116-11 NASHVILLE BLVD
CAMBRIA HEIGHTS NY 11411-1534

Officer/Director/Trustee Three

SANDRA JOHNSON
VICE PRESIDENT
116-11 NASHVILLE BLVD
CAMBRIA HEIGHTS NY 11411-1534

Officer/Director/Trustee Four

SANCHIA MILLER
SECRETARY
116-11 NASHVILLE BLVD
CAMBRIA HEIGHTS NY 11411-1534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2020
Organization Incorporation State NY
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 Yes
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 JAMES THOMAS
Signature Title PRESIDENT
Signature Date 8/28/2020

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