FORM 1023-EZ for HENRY COMMUNITY FOOD PANTRY

Field Data
EIN 82-3408197
Case Number EO-2018297-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRY COMMUNITY FOOD PANTRY
Organization’s Mailing Address 1301 SECOND STREET
City HENRY
State IL
ZIP 61537
Accounting period End 12
Primary contact name ERNIE WALDSCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REV JAMES FRIEDMEYER
PRESIDENT
511 WIRT STREET
HENRY IL 61537

Officer/Director/Trustee Two

REV MICHAEL MORRISON
VICE PRESIDENT
877 COUNTY ROAD 2000 EAST
VARNA IL 61375

Officer/Director/Trustee Three

MARY JAEGER VOSS
SECRETARY
820 GREEN STREET
HENRY IL 61537

Officer/Director/Trustee Four

ERNIE WALDSCHMIDT
TREASURER
1150 OLD ORCHARD
LACON IL 61540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
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 ERNIE WALDSCHMIDT
Signature Title TREASURER
Signature Date 10/22/18

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