FORM 1023-EZ for GUERNSEY COMMUNITY FOOD PANTRY

Field Data
EIN 85-3220700
Case Number EO-2020317-000402
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUERNSEY COMMUNITY FOOD PANTRY
Organization’s Mailing Address 81 W WHALEN ST PO BOX 69
City GUERNSEY
State WY
ZIP 82214
Accounting period End 12
Primary contact name PATRICA RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICA RUSSELL
DIRECTOR
777 HAYNES ST
GUERNSEY WY 82214

Officer/Director/Trustee Two

KARA SAUKKOLA
CHAIR
777 S KANSAS AVE
GUERNSEY WY 82214

Officer/Director/Trustee Three

DORA REINS
VICE-CHAIR
342 S WYOMING AVE
GUERNSEY WY 82214

Officer/Director/Trustee Four

LAKIESHA FOGGIE
SECRETARY
39 S NEBRASKA
GUERNSEY WY 82214

Officer/Director/Trustee Five

DEBBI FLETCHER
TREASURER
246 W SUNRISE ST
GUERNSEY WY 82214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2020
Organization Incorporation State WY
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 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 PATRICA RUSSELL
Signature Title DIRECTOR
Signature Date 11/9/2020

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