FORM 1023-EZ for MCKENZIE RIVER FOOD PANTRY

Field Data
EIN 45-2566010
Case Number EO-2021176-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MCKENZIE RIVER FOOD PANTRY
Organization’s Mailing Address 51187 BLUE RIVER DR
City FINN ROCK
State OR
ZIP 97488
Accounting period End 6
Primary contact name MELISSA NORLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA NORLUND
PRESIDENT
PO BOX 195
BLUE RIVER OR 97413

Officer/Director/Trustee Two

LACEY JOY
TREASURER
51187 BLUE RIVER DR
FINN ROCK OR 97488

Officer/Director/Trustee Three

ROBIN ROBERTS
SECRETARY
PO BOX 112
BLUE RIVER OR 97413

Organization’s website
Organization’s email MRFPANTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2021
Organization Incorporation State OR
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name MELISSA NORLUND
Signature Title PRESIDENT
Signature Date 6/23/2021

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