FORM 1023-EZ for MARICOPA PANTRY INC

Field Data
EIN 81-3081927
Case Number EO-2017186-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARICOPA PANTRY INC
Organization’s Mailing Address 4660 N HIDDEN VALLEY RD
City MARICOPA
State AZ
ZIP 85139
Accounting period End 12
Primary contact name MICHELLE SCHAEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICE SHOAF
OFFICER
4660 N HIDDEN VALLEY RD
MARICOPA AZ 85139

Officer/Director/Trustee Two

PAUL SHOAF
CEO/PRESIDENT
4660 N HIDDEN VALLEY RD
MARICOPA AZ 85139

Officer/Director/Trustee Three

DUSTI SHOAF
DIRECTOR
4754 N HIDDEN VALLEY ROAD
MARICOPA AZ 85139

Officer/Director/Trustee Four

RICHARD MASON
DIRECTOR
49733 W SUPERIOR ROAD
MARICOPA AZ 85139

Officer/Director/Trustee Five

MICHELLE SCHAEFER
DIRECTOR
41605 W HILLMAN DR
MARICOPA AZ 85138

Organization’s website
Organization’s email JIM@MARICOPAPANTRY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2016
Organization Incorporation State AZ
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 Yes
Donation of funds Yes
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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