FORM 1023-EZ for LAKE COUNTY AREA CHURCH OF CHARITIES BREAD OD LIFE PANTRY

Field Data
EIN 47-3155665
Case Number EO-2016040-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE COUNTY AREA CHURCH OF CHARITIES BREAD OD LIFE PANTRY
Organization’s Mailing Address PO BOX 729 740 E NINTH ST
City BALDWIN
State MI
ZIP 49304
Accounting period End 2
Primary contact name FRANCES ARQUETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REV BRUCE WHITNEY
PRESIDENT
890 BEECH ST
BALSWIN MI 49304

Officer/Director/Trustee Two

FR RON SCHNEIDER
VICE PRESIDENT
740 E NINTH ST
BALDWIN MI 49304

Officer/Director/Trustee Three

ALECIA DECOU
SECRETARY
8711 E 48TH ST
CHASE MI 49623

Officer/Director/Trustee Four

FRANCES ARQUETTE
TREASURER
8913 W ISLE PARK DR
BALDWIN MI 49644

Officer/Director/Trustee Five

KATHY MERCHANT
DIRECTOR
1797 E LAWRENCE DRIVE
BITELY MI 49642

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2015
Organization Incorporation State MI
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 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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