FORM 1023-EZ for SHELLY HEAD MINISTRIES

Field Data
EIN 83-3901437
Case Number EO-2019091-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELLY HEAD MINISTRIES
Organization’s Mailing Address 2107 BURBANK RD
City WOOSTER
State OH
ZIP 44691
Accounting period End 12
Primary contact name ROCHELLE L HEAD PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROCHELLE -SHELLY- HEAD
PRESIDENT, DIRECTOR
2107 BURBANK RD
WOOSTER OH 44691

Officer/Director/Trustee Two

AMI HAMMOND
TREASURER, DIRECTOR
1132 SERENITY LANE
WOOSTER OH 44691

Officer/Director/Trustee Three

CLIFFORD HEAD
DIRECTOR
2107 BURBANK RD
WOOSTER OH 44691

Officer/Director/Trustee Four

BAILEY S ALEXANDER
DIRECTOR
4313 KNICKEL DR
HILLIARD OH 43026

Officer/Director/Trustee Five

JARED FLACK
DIRECTOR
270 VALLEY VIEW DR
WOOSTER OH 44691

Organization’s website SHELLYHEADMINISTRIES.COM
Organization’s email SHELLYHEADMUSIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 ROCHELLE -SHELLY- HEAD
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/27/19

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