FORM 1023-EZ for FIVE LOAVES AND TWO FISH FOOD PANTRY CORPORATION
| Field | Data |
|---|---|
| EIN | 85-1686706 |
| Case Number | EO-2020297-000269 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FIVE LOAVES AND TWO FISH FOOD PANTRY CORPORATION |
| Organization’s Mailing Address | 125 S WILLOW DR |
| City | DERBY |
| State | KS |
| ZIP | 67037 |
| Accounting period End | 9 |
| Primary contact name | CHLOE SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHLOE SMITH
PRESIDENT/TREASURER
125 S WILLOW DR
DERBY KS 67037
Officer/Director/Trustee Two
TANNER SMITH
VICE PRESIDENT
125 S WILLOW DR
DERBY KS 67037
Officer/Director/Trustee Three
SONYA DALTON
SECRETARY
8616 E 63RD ST S
DERBY KS 67037
Officer/Director/Trustee Four
VERNA SMITH
BOARD MEMBER
706 E WAHOO CIR
DERBY KS 67037
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/3/2020 |
| Organization Incorporation State | KS |
| 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: Yes 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 | CHLOE SMITH |
| Signature Title | PRESIDENT/TREASURER |
| Signature Date | 10/20/2020 |
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