FORM 1023-EZ for PETERS SHADOW INC

Field Data
EIN 82-4063144
Case Number EO-2018067-000028
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETERS SHADOW INC
Organization’s Mailing Address 1642 11TH ST
City CUYAHOGA FALLS
State OH
ZIP 44221
Accounting period End 12
Primary contact name MICHAEL RAGON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL RAGON
CHAIRMAN
PO BOX 35516
CANTON OH 44735

Officer/Director/Trustee Two

MARY BETH GARVIN
VICE CHAIRMAN
1642 11TH ST
CUYAHOGA FALLS OH 44221

Officer/Director/Trustee Three

ROSE MARIE HARKINS
SECRETARY
3215 SAUNDERS
CUYAHOGA FALLS OH 44221

Organization’s website
Organization’s email PETERSSHADOWHEALS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
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 MICHAEL RAGON
Signature Title CHAIRMAN
Signature Date 3/6/18

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