FORM 1023-EZ for RURAL RELIEF MOBILE FOOD PANTRY

Field Data
EIN 85-4318216
Case Number EO-2021062-001757
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RURAL RELIEF MOBILE FOOD PANTRY
Organization’s Mailing Address 3528 STATE ROUTE 44
City ROOTSTOWN
State OH
ZIP 44272
Accounting period End 6
Primary contact name LORENA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON DAVIS
DIRECTOR
3528 STATE ROUTE 44
ROOTSTOWN OH 44272-9689

Officer/Director/Trustee Two

LORENA DAVIS
SECRETARY/TREASURER
3528 STATE ROUTE 44
ROOTSTOWN OH 44272-9689

Officer/Director/Trustee Three

GEORGE COCHRAN
BOARD MEMBER
1981 CROSSFIELD CIRCLE
KENT OH 44240-4819

Officer/Director/Trustee Four

COLLEEN REAMAN
BOARD MEMBER
2588 RIVER DOWNS
STOW OH 44224-6233

Organization’s website N/A
Organization’s email mosfriend2002@yahoo.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State OH
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORENA DAVIS
Signature Title SECRETARY/TREASURER
Signature Date 12/17/2020

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