FORM 1023-EZ for NEWELL FOOD PANTRY INC

Field Data
EIN 81-4011005
Case Number EO-2016307-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEWELL FOOD PANTRY INC
Organization’s Mailing Address 203 W 2ND ST POB 182
City NEWELL
State IA
ZIP 50568-0182
Accounting period End 12
Primary contact name MICHAEL MALVESTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIRK BROWN
PRESIDENT
2143 600TH ST
NEWELL IA 50568

Officer/Director/Trustee Two

MICHAEL PETERSON
TREASURER
262 E WALNUT ST
NEWELL IA 50568

Officer/Director/Trustee Three

MICHAEL MALVESTI
COORDINATOR
220 E 2ND ST APT 8
NEWELL IA 50568

Officer/Director/Trustee Four

ROBERTA WISE
DIRECTOR
700C W 9TH ST
STORM LAKE IA 50588

Officer/Director/Trustee Five

PAUL LIGHTFOOT
DIRECTOR
700C W 9TH ST
STORM LAKE IA 50588

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2016
Organization Incorporation State IA
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 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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