FORM 1023-EZ for 5 LOAVES FOOD PANTRY

Field Data
EIN 87-2252363
Case Number EO-2021270-000595
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5 LOAVES FOOD PANTRY
Organization’s Mailing Address 1249 NORTH STATE ROUTE 2
City NEW MARTINSVILLE
State WV
ZIP 26155
Accounting period End 12
Primary contact name KIM EIDEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONEY COX
PRESIDENT
1249 NORTH STATE ROUTE 2
NEW MARTINSVILLE WV 26155

Officer/Director/Trustee Two

TINA RUCKER
VICE PRESIDENT
40 RIVERVIEW LANE
SISTERSVILLE WV 26175

Officer/Director/Trustee Three

KIM EIDEL
TREASURER
15 WOOD STREET
WEST UNION WV 26456

Organization’s website
Organization’s email ERACLERGY@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2021
Organization Incorporation State WV
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 KIM EIDEL
Signature Title TREASURER
Signature Date 9/24/2021

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