FORM 1023-EZ for LOC FOOD PANTRY INC

Field Data
EIN 82-3743988
Case Number EO-2018038-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOC FOOD PANTRY INC
Organization’s Mailing Address 2000 AIRPORT ROAD
City TEMPLE
State TX
ZIP 76504
Accounting period End 12
Primary contact name AC BLUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AC BLUNT
TREASURER
2000 AIRPORT ROAD
TEMPLE TX 76504

Officer/Director/Trustee Two

JERRY WILEY
PRESIDENT AND DIRECTOR
2000 AIRPORT ROAD
TEMPLE TX 76504

Officer/Director/Trustee Three

GARY PRIDDY
VICE PRESIDENT AND DIRECTOR
2000 AIRPORT ROAD
TEMPLE TX 76504

Officer/Director/Trustee Four

CAROLYN DICKERSON
SECRETARY AND DIRECTOR
2000 AIRPORT ROAD
TEMPLE TX 76504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State TX
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 AC BLUNT
Signature Title TREASURER
Signature Date 2/5/18

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