FORM 1023-EZ for NEDERLAND FOOD PANTRY

Field Data
EIN 47-2309107
Case Number EO-2015012-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEDERLAND FOOD PANTRY
Organization’s Mailing Address PO BOX 154
City NEDERLAND
State CO
ZIP 80466
Accounting period End 12
Primary contact name SCOTT TIRAPELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENNIS WHALEN
PRESIDENT
57 ASPEN WAY
NEDERLAND CO 80466

Officer/Director/Trustee Two

SCOTT TIRAPELLI
TREASURER
153 N BEAVER ROAD
BLACK HAWK CO 80422

Officer/Director/Trustee Three

JANETTE TAYLOR
SECRETARY
33 UTE WAY
NEDERLAND CO 80466

Officer/Director/Trustee Four

MARGARET MAY
FUND RAISING COORDINATOR
136 PONDEROSA WAY
NEDERLAND CO 80466

Officer/Director/Trustee Five

LAURA FISHER
VOLUNTEER COORDINATOR
1195 ELDORA AVE
NEDERLAND CO 80466

Organization’s website NEDERLANDFOODPANTRY.ORG
Organization’s email NFPEXECUTIVEDIR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State CO
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 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
Signature Title
Signature Date

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