FORM 1023-EZ for PET FOOD PANTRY OF EASTERN NC INC

Field Data
EIN 47-1475565
Case Number EO-2014232-000053
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PET FOOD PANTRY OF EASTERN NC INC
Organization’s Mailing Address PO BOX 2492
City GREENVILLE
State NC
ZIP 27836
Accounting period End 7
Primary contact name KRISTEN BELOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTEN BELOW
FOUNDER, EXECUTIVE DIRECTOR
901 FOREST HILL CIRCLE
GREENVILLE NC 27858

Officer/Director/Trustee Two

SCOTT BELOW
CHIEF FINANCIAL OFFICER
901 FOREST HILL CIRCLE
GREENVILLE NC 27858

Officer/Director/Trustee Three

KRISTEN KENYON
FOUNDER, DIRECTOR CLIENT SERVICES
107 NORTH ELM ST
GREENVILLE NC 27858

Officer/Director/Trustee Four

SAMANTHA CROWE
FOUNDER, CHIEF OPERATIONS DIRECTOR
728 STILLWATER DR
WINTERVILLE NC 28590

Officer/Director/Trustee Five

MICHELLE LAMARE
ASSOCIATE DIRECTOR
3512 WALLINGFORD RD
GREENVILLE NC 27858

Organization’s website WWW.PETFOODPANTRYENC.ORG
Organization’s email PETFOODPANTRYENC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2014
Organization Incorporation State NC
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 Yes
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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