FORM 1023-EZ for CHRISTIAN FOOD PANTRY INCORPORATED

Field Data
EIN 84-3307080
Case Number EO-2019297-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN FOOD PANTRY INCORPORATED
Organization’s Mailing Address 17963 STATE HIGHWAY 32
City TOWNSEND
State WI
ZIP 54175-78
Accounting period End 12
Primary contact name MATTHEW CONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WYCHERLEY
PRESIDENT
PO BOX 78
TOWNSEND WI 54175-78

Officer/Director/Trustee Two

MATTHEW CONNELL
TREASURER
12399 OAK LN
CRIVITZ WI 54114-8940

Officer/Director/Trustee Three

PATRICIA MODEROW
DIRECTOR
17361 MCCASLIN DR
TOWNSEND WI 54175-78

Officer/Director/Trustee Four

JIM ZITTLOW
VICE-PRESIDENT
12468 GRINDLE LN
CRIVITZ WI 54114-8940

Officer/Director/Trustee Five

CASSIE ZITTLOW
SECRETARY
12468 GRINDLE LN
CRIVITZ WI 54114-8940

Organization’s website NONE
Organization’s email MCONNELL3095@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State WI
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 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 MATTHEW CONNELL
Signature Title TREASURER
Signature Date 10/21/19

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