FORM 1023-EZ for MESICK COMMUNITY FOOD PANTRY

Field Data
EIN 83-2108423
Case Number EO-2018282-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MESICK COMMUNITY FOOD PANTRY
Organization’s Mailing Address 120 S ALVIN ST
City MESICK
State MI
ZIP 49668
Accounting period End 12
Primary contact name PATTI L WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTI WILLIAMS
PRESIDENT
9431 N M 37
MESICK MI 49668-9322

Officer/Director/Trustee Two

DOROTHY CASADY
VICE PRESIDENT
3180 N 17 RD
MESICK MI 49668-9548

Officer/Director/Trustee Three

PEGGY JOHNSON
SECRETARY & TREASURER
6110 RIVERVIEW RD
MESICK MI 49668-9331

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATTI WILLIAMS
Signature Title PRESIDENT
Signature Date 10/5/18

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