FORM 1023-EZ for STANTON FEEDING HAYWOOD FOOD PANTRY

Field Data
EIN 81-2314120
Case Number EO-2016208-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STANTON FEEDING HAYWOOD FOOD PANTRY
Organization’s Mailing Address 11 LAFAYETTE ST
City STANTON
State TN
ZIP 38069
Accounting period End 12
Primary contact name PATRICIA WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA JONES
PRESIDENT
11 LAFAYETTE
STANTON TN 38069

Officer/Director/Trustee Two

PATRICIA WHITE
SECRETARY
4449 GARRISON AVE
MEMPHIS TN 38128

Officer/Director/Trustee Three

NORMA MIDDLEBROOK
TREASURER
169 MUEX RD
STANTON TN 38069

Officer/Director/Trustee Four

EMMA DELK
ASSISTANT TREASURER
106 MAIN ST
STANTON TN 38069

Organization’s website
Organization’s email PWIGGIN@BELLSOUTH.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2016
Organization Incorporation State TN
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: Yes
Scientific: Yes
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
Signature Title
Signature Date

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