FORM 1023-EZ for HIS DAILY BREAD COMMUNITY MINISTRIES INC

Field Data
EIN 47-1561595
Case Number EO-2017079-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIS DAILY BREAD COMMUNITY MINISTRIES INC
Organization’s Mailing Address 214 PARK LANE
City COATS
State NC
ZIP 27521
Accounting period End 12
Primary contact name THOMAS FITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY ALLEN
PRESIDENT
359 S DENISE STREET
COATS NC 27521

Officer/Director/Trustee Two

DOTTIE TYNDALL
TREASURER
P O BOX 818
COATS NC 27521

Officer/Director/Trustee Three

GALE PENNY
VICE PRESIDENT
2794 NC27E
COATS NC 27521

Officer/Director/Trustee Four

THOMAS FITE
SECRETARY
184 S CARRIE STREET POBOX 1425
COATS NC 27521

Officer/Director/Trustee Five

DENISE PENNY
ASST SECRETARY
495 YOUNG RD
ANGIER NC 27501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2014
Organization Incorporation State NC
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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