FORM 1023-EZ for CHUBBY PANTRY CO

Field Data
EIN 84-1970270
Case Number EO-2019212-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHUBBY PANTRY CO
Organization’s Mailing Address 3448 OAK KNOLL BLVD
City OAKLAND
State CA
ZIP 94605
Accounting period End 12
Primary contact name CALVIN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALVIN JOHNSON
PRESIDENT/DIRECTOR
3448 OAK KNOLL BLVD
OAKLAND CA 94605

Officer/Director/Trustee Two

PAUL CHAMBERS
TREASURER/DIRECTOR
3448 OAK KNOLL BLVD
OAKLAND CA 94605

Officer/Director/Trustee Three

TONY BROWN
SECRETARY/DIRECTOR
3448 OAK KNOLL BLVD
OAKLAND CA 94605

Organization’s website
Organization’s email 59CALVINJOHNSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 CALVIN JOHNSON
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/29/19

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