FORM 1023-EZ for CHRIST THE SAVIOR FOOD PANTRY INC

Field Data
EIN 84-4997251
Case Number EO-2020115-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRIST THE SAVIOR FOOD PANTRY INC
Organization’s Mailing Address 6378 WV-152
City WAYNE
State WV
ZIP 25570
Accounting period End 12
Primary contact name KEVIN SCHADICK ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTON CAMPBELL
DIRECTOR - PRESIDENT
1373 LEFT FORK MILLERS FORK RD
WAYNE WV 25570

Officer/Director/Trustee Two

NEAL WARNER
DIRECTOR - SECRETARY
1324 NEEL STREET
HUNTINGTON WV 25701

Officer/Director/Trustee Three

JOSHUA FAHEY
DIRECTOR - TREASURER
1116 TWP RD 251
SOUTH POINT WV 45680

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2020
Organization Incorporation State WV
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: Yes
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 JOSHUA FAHEY
Signature Title DIRECTOR - TREASURER
Signature Date 4/22/2020

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