FORM 1023-EZ for FOOD 4UR SOUL INTL KITCHEN INCORPORATED

Field Data
EIN 84-3419687
Case Number EO-2020133-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOOD 4UR SOUL INTL KITCHEN INCORPORATED
Organization’s Mailing Address 110 CEDAR RD APT 27
City AMITYVILLE
State NY
ZIP 11701
Accounting period End 12
Primary contact name SHANNON KNOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON KNOX
FOUNDER (DIRECTOR)
110 CEDAR RD APT 27
AMITYVILLE NY 11701

Officer/Director/Trustee Two

CHRISTINE SPENCE
DIRECTOR
296 WEST CHESTER AVE
BABYLON NY 11704

Officer/Director/Trustee Three

CARL STOKES
DIRECTOR
148 WEST 142ND ST APT 63
NEW YORK NY 10030

Officer/Director/Trustee Four

MELANIE BAKER
SECRETARY
29 HEGEN ST
BRENTWOOD NY 11717

Officer/Director/Trustee Five

DAWN LAZARUS
TREASURER
1646 MANATUCK BLVD
BAYSHORE NY 11706

Organization’s website FOOD-4URSOUL.COM
Organization’s email FOOD4URSOUL01@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K35 - Eatery, Agency, Organization Sponsored
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 SHANNON KNOX
Signature Title FOUNDER (DIRECTOR)
Signature Date 5/10/2020

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