FORM 1023-EZ for GRUNDY COUNTY FOOD BANK

Field Data
EIN 58-1680985
Case Number EO-2016330-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRUNDY COUNTY FOOD BANK
Organization’s Mailing Address 822 MAIN STREET
City TRACY CITY
State TN
ZIP 37387
Accounting period End 12
Primary contact name TIMOTHY GLOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENDON LANCE
RECEIVER
32249 SR 108
GRUETLI LAAGER TN 37339

Officer/Director/Trustee Two

BERNADINE HALL
PRESIDENT
PO BOX 113
BEERSHEBA SPRINGS TN 37305

Officer/Director/Trustee Three

LINDA ROSS
VICE-PRESIDENT
375 ERINS RD
COALMONT TN 37313

Officer/Director/Trustee Four

BECKY MILLER
SECRETARY
5049 BROWNS HOLLOW RD
TRACY CITY TN 37387

Officer/Director/Trustee Five

JULIE KEEL
DIRECTOR OF FINANCE COMMITTEE
PO BOX 301
TRACY CITY TN 37387

Organization’s website GRUNDYCOUNTYFOODBANK.COM
Organization’s email GRUNDYCOUNTYFOODBANK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/1978
Organization Incorporation State TN
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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