FORM 1023-EZ for PEARLS PANTRY

Field Data
EIN 85-1490369
Case Number EO-2020248-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEARLS PANTRY
Organization’s Mailing Address 905 LASSEN STREET
City VALLEJO
State CA
ZIP 94591
Accounting period End 12
Primary contact name PAMELA WATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA WATTS
PRESIDENT/CEO
905 LASSEN STREET
VALLEJO CA 94591-4841

Officer/Director/Trustee Two

LINDA LLOYD-STEPHENS
TREASURER
1579 THOMAS AVENUE
SAN FRANCISCO CA 94124

Officer/Director/Trustee Three

ONESHA OLIVER
SECRETARY
221 CLARK DRIVE
VALLEJO CA 94591

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State CA
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA WATTS
Signature Title PRESIDENT/CEO
Signature Date 9/2/2020

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