FORM 1023-EZ for IN GODS NAME FOOD PANTRY

Field Data
EIN 86-2234409
Case Number EO-2021116-000535
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IN GODS NAME FOOD PANTRY
Organization’s Mailing Address 1730 JACKSON AVE
City YAZOO CITY
State MS
ZIP 39194-2408
Accounting period End 12
Primary contact name NICOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TILDEN CLARK
DIRECTOR
102 TWO HORSE TRAIL
HARVEST AL 35749

Officer/Director/Trustee Two

REGINALD CLARK
DIRECTOR
18051 MIDWAY DRIVE
TERRY MS 39194

Officer/Director/Trustee Three

JANNIE CLARK
DIRECTOR
725 STREAMLINE DRIVE C13
YAZOO MS 39194

Officer/Director/Trustee Four

NICOLE CLARK
DIRECTOR
1730 JACKSON AVE
YAZOO CITY MS 39194

Organization’s website
Organization’s email INGODSHANDSPANTRY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2021
Organization Incorporation State MS
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 Yes
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 NICOLE CLARK
Signature Title DIRECTOR
Signature Date 4/23/2021

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