FORM 1023-EZ for KIEL AREA COMMUNITY FOOD PANTRY INC

Field Data
EIN 84-3769008
Case Number EO-2020078-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIEL AREA COMMUNITY FOOD PANTRY INC
Organization’s Mailing Address 14537 SQUIRE LN
City KIEL
State WI
ZIP 53042-3766
Accounting period End 12
Primary contact name RANDALL OLM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL OLM
PRESIDENT
14537 SQUIRE LN
KIEL WI 53042

Officer/Director/Trustee Two

DAVID ARENZ
VICE PRESIDENT
86 RIVERVIEW ROAD
KIEL WV 53042

Officer/Director/Trustee Three

LYNDA NEUBER
TREASURER
1147 FIRST STREET
KIEL WI 53042

Officer/Director/Trustee Four

KAREN LAACK
SECRETARY
1109 FIFTH STREET
KIEL WI 53042

Officer/Director/Trustee Five

MELISSA BRANDT
DIRECTOR
630 TENTH STEET
KIEL WI 53042

Organization’s website N/A
Organization’s email OLMRANDYCPA@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2019
Organization Incorporation State WI
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 RANDALL OLM
Signature Title PRESIDENT
Signature Date 3/14/2020

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