FORM 1023-EZ for G-E-T COMMUNITY FOOD PANTRY

Field Data
EIN 45-1557554
Case Number EO-2016340-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name G-E-T COMMUNITY FOOD PANTRY
Organization’s Mailing Address 20237 WEST RIDGE AVE
City GALESVILLE
State WI
ZIP 54630
Accounting period End 3
Primary contact name TERRY LEE-DOCKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY LEE-DOCKEN
PRESIDENT
W15476 RIVER DRIVE
GALESVILLE WI 54630

Officer/Director/Trustee Two

LORETTA MAHONEY
TREASURER
17094 FRENCH ROAD
GALESVILLE WI 54630

Officer/Director/Trustee Three

JUDITH BYOM
SECRETARY
W12699 STATE ROAD
ETTRICK WI 54627

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2016
Organization Incorporation State WI
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 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
Signature Title
Signature Date

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