FORM 1023-EZ for LOAVES FISHES SOUP KITCHEN

Field Data
EIN 81-2605105
Case Number EO-2016172-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOAVES FISHES SOUP KITCHEN
Organization’s Mailing Address 183 SOUTH BROAD ST
City NAZARETH
State PA
ZIP 18064
Accounting period End 12
Primary contact name JEFFREY GEHRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROME PUGH
CHAIRMAN
885 MT PLEASNT RD
BANGOR PA 18013

Officer/Director/Trustee Two

TINA SMITH
VICE CHAIR PERSON
142 S FAIRVIEW ST
N PA 18064

Officer/Director/Trustee Three

CAROLE SATTUR
TREASURER
455 HIGH ST
TATAMY PA 18085

Officer/Director/Trustee Four

JEFFREY GEHRIS
BOARD MEMBER
10 SOUTH MAIN ST
NAZARETH PA 18064

Officer/Director/Trustee Five

JEFFREY BRINKS
BOARD MEMBER
1950 PIERCE DR
WHITEHALL PA 18052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K35 - Eatery, Agency, Organization Sponsored
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 Yes
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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