FORM 1023-EZ for RIVERBEND COMMUNITY FOOD PANTRY

Field Data
EIN 43-2037859
Case Number EO-2014251-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERBEND COMMUNITY FOOD PANTRY
Organization’s Mailing Address PO BOX 8707
City ALTON
State IL
ZIP 62002-8707
Accounting period End 12
Primary contact name SANDRA WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COURTNEY WILLIAMS
DIRECTOR
1325 STATE STREET
ALTON IL 62002-3409

Officer/Director/Trustee Two

SANDRA WAGNER
ASST. DIRECTOR/SECRETARY
850 E LORENA AVE
WOOD RIVER IL 62095-2128

Officer/Director/Trustee Three

MARCELYN HAWORTH
CHAIRMAN
400 CHURCH STREET
EAST ALTON IL 62024-1110

Officer/Director/Trustee Four

GWEN PRICE
TREASURER
1107 ROBERTS DRIVE
GODFREY IL 62035-2043

Officer/Director/Trustee Five

STEVE MILLER
BOARD MEMEBER
637 OLMSTEAD WAY
ALTON IL 62002-2982

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2004
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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