FORM 1023-EZ for WEST END PANTRY INC

Field Data
EIN 81-1990405
Case Number EO-2016124-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST END PANTRY INC
Organization’s Mailing Address 516 KUNKLETOWN ROAD
City KUNKLETOWN
State PA
ZIP 18058
Accounting period End 12
Primary contact name WIESLAW T NIEMOCZYNSKI ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARENA THEK
PRESIDENT
4 COUNTRYVIEW LANE
KUNKLETOWN PA 18058

Officer/Director/Trustee Two

WILLIAM THEK
VICE PRESIDENT
4 COUNTRYVIEW LANE
KUNKLETOWN PA 18058

Officer/Director/Trustee Three

LINDA KILE
SECRETARY
1278 WOODVIEW ROAD
KUNKLETOWN PA 18058

Officer/Director/Trustee Four

LYNN WITT
TREASURER
PO BOX 424
KUNKLETOWN PA 18058

Officer/Director/Trustee Five

PAM LOVEWELL
AT LARGE
3226 KENNEDY DRIVE
NORTHAMPTON PA 18067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State PA
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 Yes
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
Signature Title
Signature Date

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