FORM 1023-EZ for PISGAH PANTRY OUTREACH INC

Field Data
EIN 86-2461219
Case Number EO-2021102-000832
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PISGAH PANTRY OUTREACH INC
Organization’s Mailing Address 3331 NW 214TH ST
City MIAMI
State FL
ZIP 33056
Accounting period End 12
Primary contact name JONDRA GRIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY JOSEPH
PRES
3331 NW 214TH ST
MIAMI FL 33056

Officer/Director/Trustee Two

NATHANIEL GREENE
V PRES
3331 NW 214TH ST
MIAMI FL 33056

Officer/Director/Trustee Three

ANTHONY HEATH
TREAS
3331 NW 214TH ST
MIAMI FL 33056

Officer/Director/Trustee Four

JONDRA GRIER
SEC
3331 NW 214TH ST
MIAMI FL 33056

Officer/Director/Trustee Five

ANGIE SEALS-TANNER
D
3331 NW 214TH ST
MIAMI FL 33056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 PEGGY JOSEPH
Signature Title PRES
Signature Date 4/2/2021

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