FORM 1023-EZ for POINTER PANTRY INC

Field Data
EIN 81-2632531
Case Number EO-2016148-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POINTER PANTRY INC
Organization’s Mailing Address 240 SOUTH ST
City MINERAL POINT
State WI
ZIP 53565
Accounting period End 5
Primary contact name BETTY HOGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAUREEN MAY-GRIMM
CHAIRMAN
240 SOUTH STREET P O BOX 123
MINERAL POINT WI 53565

Officer/Director/Trustee Two

BETTY HOGAN
SECRETARY
531 MADISON ST
MINERAL POINT WI 53565

Officer/Director/Trustee Three

RICHARD AUSTIN
TREASURER
803 FAIR ST
MINERAL POINT WI 53565

Officer/Director/Trustee Four

DEBRA MOLLE
SCHOOL LIAISON
370 ELMER ST
PLATTEVILLE WI 53818

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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