FORM 1023-EZ for KUYAHOORA VALLEY FOOD PANTRY INC

Field Data
EIN 83-2040108
Case Number EO-2019154-000564
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KUYAHOORA VALLEY FOOD PANTRY INC
Organization’s Mailing Address PO BOX 447
City NEWPORT
State NY
ZIP 13416
Accounting period End 12
Primary contact name RALPH DOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUG THIERRY
PRESIDENT
PO BOX 434
NEWPORT NY 13416

Officer/Director/Trustee Two

JOE GIZZI
VICE PRESIDENT
953 HONEY HILL ROAD
POLAND NY 13431

Officer/Director/Trustee Three

MONICA EDWARDS
TREASURER
PO BOX 552
NEWPORT NY 13416

Officer/Director/Trustee Four

JIM MURPHY
SECRETARY
206 RESERVOIR ROAD
NEWPORT NY 13416

Officer/Director/Trustee Five

RALPH DOW
DIRECTOR
PO BOX 447
NEWPORT NY 13416

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State NY
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: 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 RALPH DOW
Signature Title DIRECTOR
Signature Date 6/1/19

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