FORM 1023-EZ for REV CHARLES MILTON LEVIAS FOOD PANTRY INC

Field Data
EIN 86-1733481
Case Number EO-2021099-001768
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REV CHARLES MILTON LEVIAS FOOD PANTRY INC
Organization’s Mailing Address 1314 PATTERSON DR
City BOGALUSA
State LA
ZIP 70427
Accounting period End 12
Primary contact name TIYE L YAYU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIYE YAYU
PRESIDENT/DIRECTOR
1314 PATTERSON DR
BOGALUSA LA 70427

Officer/Director/Trustee Two

NATISA DILL
TREASURER/DIRECTOR
2809 RIO SECO DR
PITTSBURG CA 94565

Officer/Director/Trustee Three

NATHANIEL DILL III
SECRETARY/DIRECTOR
1900 N RANCH ST
VISALIA CA 93291

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2021
Organization Incorporation State LA
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 Yes
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 TIYE YAYU
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/29/2021

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