FORM 1023-EZ for D300 FOOD PANTRY

Field Data
EIN 47-5540004
Case Number EO-2016214-000516
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name D300 FOOD PANTRY
Organization’s Mailing Address 100 CARPENTER BLVD DOOR 21B
City CARPENTERSVILLE
State IL
ZIP 60110
Accounting period End 9
Primary contact name CRAIG RADDATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG RADDATZ
PRESIDENT
341 WINSLOW WAY
LITH IL 60156

Officer/Director/Trustee Two

BRENDA VANHORN
SECRETARY
800 CONCORD LANE
BARRINGTON IL 60010

Officer/Director/Trustee Three

KRISTIN SAINSBURY
DIRECTOR
230 HILLTOP LANE
SLEEPY HOLLOW IL 60118

Officer/Director/Trustee Four

TRISH WHITECOTTON
DIRECTOR
36W651 RICHMOND ROAD
WEST DUNDEE IL 60180

Officer/Director/Trustee Five

SUSAN PERRONI
DIRECTOR
1150 NORTH ELMA AVE
ELGIN IL 60120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2015
Organization Incorporation State IL
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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