FORM 1023-EZ for SHADOW MORMON OUTREACH

Field Data
EIN 85-1130882
Case Number EO-2020211-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHADOW MORMON OUTREACH
Organization’s Mailing Address 4005 PERRO LANE
City RENO
State NV
ZIP 89502
Accounting period End 12
Primary contact name TRINITY JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY VAN SICKLE
PRESIDENT
4005 PERRO LANE
RENO NV 89502

Officer/Director/Trustee Two

DAWN VAN SICKLE
SECRETARY
4005 PERRO LANE
RENO NV 89502

Officer/Director/Trustee Three

AARON VAN SICKLE
TREASURER
4005 PERRO LANE
RENO NV 89502

Officer/Director/Trustee Four

REBECCA VAN SICKLE
DIRECTOR
559 ARROWHEAD DRIVE
CARSON CITY NV 89706

Organization’s website HTTP://SHADOWMORMON.ORG
Organization’s email SPIRITUPMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2020
Organization Incorporation State NV
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: Yes
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 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 JAY VAN SICKLE
Signature Title PRESIDENT
Signature Date 7/27/2020

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