FORM 1023-EZ for ELLENDALE COMMUNITY FOOD PANTRY

Field Data
EIN 82-0636869
Case Number EO-2017062-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELLENDALE COMMUNITY FOOD PANTRY
Organization’s Mailing Address PO BOX 75
City ELLENDALE
State ND
ZIP 58436-0075
Accounting period End 12
Primary contact name MICHELE THORPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON RASMUSSEN
PRESIDENT
PO BOX 75
ELLENDALE ND 58436-0075

Officer/Director/Trustee Two

GALEN SYLVESTER
TREASURER
PO BOX 75
ELLENDALE ND 58436-0075

Officer/Director/Trustee Three

PAUL HENSCHEN
DIRECTOR
PO BOX 75
ELLENDALE ND 58436-0075

Officer/Director/Trustee Four

MICHELE THORPE
SECRETARY
PO BOX 75
ELLENDALE ND 58436-0075

Officer/Director/Trustee Five

JEFF PETERSEN
VICE PRESIDENT
PO BOX 75
ELLENDALE ND 58436-0075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2016
Organization Incorporation State ND
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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