FORM 1023-EZ for ABERDEEN FOOD BANK

Field Data
EIN 83-2159144
Case Number EO-2018295-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ABERDEEN FOOD BANK
Organization’s Mailing Address PO BOX 444
City ABERDEEN
State WA
ZIP 98520
Accounting period End 12
Primary contact name JEFF JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHER KELLER
CEO
PO BOX 1734
ABERDEEN WA 98520

Officer/Director/Trustee Two

MARILYN STURM
TREASURER
1951 ARNOLD STREET
ABERDEEN WA 98520

Officer/Director/Trustee Three

VALYN METROPOULOS
CHAIRPERSON
405 3RD AVENUE
ABERDEEN WA 98520

Officer/Director/Trustee Four

DOUG BASLER
VICE CHAIRPERSON
917 NORTH N STREET
ABERDEEN WA 98520

Officer/Director/Trustee Five

JEFF JOHNSON
BOARD OF DIRECTOR
PO BOX 323
COSMOPOLIS WA 98537

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
Organization Incorporation State WA
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: Yes
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 JEFF JOHNSON
Signature Title BOARD OF DIRECTOR
Signature Date 10/18/18

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