FORM 1023-EZ for PEACHS PANTRY INC

Field Data
EIN 81-1632432
Case Number EO-2016081-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACHS PANTRY INC
Organization’s Mailing Address PO BOX 4174
City SIERRA VISTA
State AZ
ZIP 85636-4174
Accounting period End 6
Primary contact name SARAH PACHECO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH PACHECO
CHIEF EXECUTIVE OFFICER
1291 HEATHER
SIERRA VISTA AZ 85635-4940

Officer/Director/Trustee Two

LISA CONLEY
CHIEF OPERATING OFFICER
4584 EAST MILLER CANYON ROAD
HEREFORD AZ 85615-9669

Officer/Director/Trustee Three

MILA ERICKSON
CHIEF FINANCIAL OFFICER
2299 OAKMONT DRIVE
SIERRA VISTA AZ 85635-2544

Organization’s website PEACHSPANTRY.ORG
Organization’s email PEACHS.PANTRY.EFSV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2016
Organization Incorporation State AZ
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
Signature Title
Signature Date

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