FORM 1023-EZ for GODS PANTRY

Field Data
EIN 85-3821353
Case Number EO-2020317-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GODS PANTRY
Organization’s Mailing Address 150 BAUMGARTNER PL N
City EATONVILLE
State WA
ZIP 98328
Accounting period End 12
Primary contact name PHILLIP WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP WILLIAMS
BOARD OF DIRECTOR
150 BAUMGARTNER PL N
EATONVILLE WA 98328

Officer/Director/Trustee Two

JEREMIAH VISAYA
BOARD OF DIRECTOR
41719 MERIDIAN E
EATONVILLE WA 98328

Officer/Director/Trustee Three

CHARLES WILLIAMS
BOARD OF DIRECTOR
40007 OHOP-CLEAR LAKE RD E
EATONVILLE WA 98328

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2020
Organization Incorporation State WA
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 Yes
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 No
Correctness Declaration Yes
Signature Name PHILLIP WILLIAMS
Signature Title BOARD OF DIRECTOR
Signature Date 11/9/2020

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