FORM 1023-EZ for BARRE FOOD PANTRY INC A NOT FOR PROFIT CORPORATION

Field Data
EIN 83-1877233
Case Number EO-2020049-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARRE FOOD PANTRY INC A NOT FOR PROFIT CORPORATION
Organization’s Mailing Address 167 GROGAN ROAD
City BARRE
State MA
ZIP 01005-9240
Accounting period End 12
Primary contact name ANN MEILUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID PETROVICK
PRESIDENT
167 GROGAN ROAD
BARRE MA 01005-9240

Officer/Director/Trustee Two

RICHARD BARCA
TREASURER
68 CHURCH LANE
BARRE MA 01005

Officer/Director/Trustee Three

CHARLES G RADLO
CLERK
460 WAUWINET ROAD
BARRE MA 01005

Officer/Director/Trustee Four

SONJA BLANEY
DIRECTOR
1651 SOUTH STREET
BARRE MA 01005

Officer/Director/Trustee Five

DIANE CHAMPIGNY
DIRECTOR
75 UNION STREET
BARRRE MA 01005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2018
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 DAVID PETROVICK
Signature Title PRESIDENT
Signature Date 2/13/2020

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