FORM 1023-EZ for NEIGHBORS PANTRY INC

Field Data
EIN 47-4680226
Case Number EO-2015217-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEIGHBORS PANTRY INC
Organization’s Mailing Address 217 GILKEY SCHOOL RD
City RUTHERFORDTON
State NC
ZIP 28139
Accounting period End 12
Primary contact name SHARON G WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS DAVIS
DIRECTOR
DAVE RD
MARION NC 28752

Officer/Director/Trustee Two

NANCY JONES
CO DIRECTOR
BROOKS LAKE RD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Three

JERRY JONES
TREASURER
BROOKS LAKE RD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Four

DIANE SMITH
DIRECTOR
279 OAK SPRINGS RD
RUTHERFORDTON NC 28139

Officer/Director/Trustee Five

SHARON WILSON
SECRETARY
561 OAK SPRINGS RD
RUTHERFORDTON NC 28139

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2015
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 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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