FORM 1023-EZ for COUNTRY COMMUNITY CUPBOARD

Field Data
EIN 83-1362016
Case Number EO-2019105-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNTRY COMMUNITY CUPBOARD
Organization’s Mailing Address 7265 HIGHWAY 49
City NEW LEIPZIG
State ND
ZIP 58562
Accounting period End 12
Primary contact name RUTH ROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUTH ROTH
PRESIDENT
7265 HIGHWAY 49
NEW LEIPZIG ND 58562

Officer/Director/Trustee Two

SANDRA LAUB
VICE PRESIDENT
6950 76TH STREET SW
ELGIN ND 58533

Officer/Director/Trustee Three

JOYCE BONOGOFSKY
TREASURER
101 4TH AVENUE SE
ELGIN ND 58533

Officer/Director/Trustee Four

COLLEEN VETTER
SECRETARY
6765 62ND STREET SW
ELGIN ND 58533

Officer/Director/Trustee Five

JOANN SCHATZ
DIRECTOR
6975 58TH AVENUE SE
ELGIN ND 58533

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State ND
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: Yes
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 RUTH ROTH
Signature Title PRESIDENT
Signature Date 4/11/19

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