FORM 1023-EZ for HOUSE OF PROVISION FOOD PANTRY

Field Data
EIN 11-3744919
Case Number EO-2021154-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE OF PROVISION FOOD PANTRY
Organization’s Mailing Address 145 SUNSET DR
City THOMASVILLE
State NC
ZIP 27360
Accounting period End 12
Primary contact name PATRICIA FREEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY M OLVEY
TREASURER
108 MEREDITH DR
ARCHDALE NC 27263

Officer/Director/Trustee Two

DESTINY WEAVER
SECRETARY
3005 ACRHDALE RD
HIGH POINT NC 27263

Officer/Director/Trustee Three

PATRICIA FREEMAN
PRESIDENT
145 SUNSET DR
THOMASVILLE NC 27360

Officer/Director/Trustee Four

SHERRY WEAVER
VICE PRESIDENT
3005 ARHDALE RD
HIGH POINT NC 27263

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name PATRICIA FREEMAN
Signature Title PRESIDENT
Signature Date 5/31/2021

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