FORM 1023-EZ for FOUR SHADOW SUPPORT

Field Data
EIN 32-0452307
Case Number EO-2014332-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR SHADOW SUPPORT
Organization’s Mailing Address PO BOX 501
City SARDINIA
State OH
ZIP 45171-0501
Accounting period End 12
Primary contact name MICHAEL MAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW WAGNER
DIRECTOR
2514 FAIRGROVE COURT
CINCINNATI OH 45244

Officer/Director/Trustee Two

MICHAEL MAY
DIRECTOR
PO BOX 501
Sardinia OH 45171-0501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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