FORM 1023-EZ for PCM FOOD PANTRY
| Field | Data |
|---|---|
| EIN | 36-4971027 |
| Case Number | EO-2021063-000745 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PCM FOOD PANTRY |
| Organization’s Mailing Address | PO BOX 750 |
| City | MONROE |
| State | IA |
| ZIP | 50170 |
| Accounting period End | 12 |
| Primary contact name | DIANNE TAYLOR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DIANNE TAYLOR
TREASURER
202 W MCMURRAY STREET PO BOX 159
PRAIRIE CITY IA 50228
Officer/Director/Trustee Two
LEHRL VAN DALEN
PRESIDENT
408 CONE FLOWER CT
MONROE IA 50170
Officer/Director/Trustee Three
LINDA BIRKENHOLTZ
SECRETARY
1066 BEARDSLEY STREET
MONROE IA 50170
Officer/Director/Trustee Four
GARY MUNSON
DIRECTOR
802 N COMMERCE PO BOX 988
MONROE IA 50170
Officer/Director/Trustee Five
ANN JOHNSON
DIRECTOR
115 S MAIN STREET PO BOX 750
MONROE IA 50170
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/16/2019 |
| Organization Incorporation State | IA |
| 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 | DIANNE TAYLOR |
| Signature Title | TREASURER |
| Signature Date | 12/30/2020 |
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