FORM 1023-EZ for MARTIC PANTRY

Field Data
EIN 47-4499924
Case Number EO-2015216-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARTIC PANTRY
Organization’s Mailing Address 300 DOUTS HILL RD
City HOLTWOOD
State PA
ZIP 17532
Accounting period End 6
Primary contact name STEVE LEHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN LEHMAN
CHAIR
300 DOUTS HILL RD
HOLTWOOD PA 17532

Officer/Director/Trustee Two

DAVID GOCHNAUER
VICE CHAIR
101 W ELM STREET
CONESTOGA PA 17516

Officer/Director/Trustee Three

DIANE EBY
SECRETARY
890 RIVER ROAD
HOLTWOOD PA 17532

Officer/Director/Trustee Four

MARY LEHMAN
TREASURER
300 DOUTS HILL ROAD
HOLTWOOD PA 17532

Officer/Director/Trustee Five

LOIS CLYMER
AT-LARGE
301 LETORT ROAD
MILLERSVILLE PA 17532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State PA
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 Yes
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
Signature Title
Signature Date

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