FORM 1023-EZ for HEROS SHELTER INC

Field Data
EIN 46-1274900
Case Number EO-2021053-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROS SHELTER INC
Organization’s Mailing Address 3646 OCEAN RANCH BLVD
City OCEANSIDE
State CA
ZIP 92056
Accounting period End 12
Primary contact name OLUWAPELUMI OLUKOTUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLUWAPELUMI OLUKOTUN
PRESIDENT
46 SOLAR CIR APT A
PARKVILLE MD 21234

Officer/Director/Trustee Two

ANDREW CUOMO
CHAIRPERSON OF GOVERNING BODY
NEW YORK STATE CAPITOL BUILDING
ALBANY NY 12224

Officer/Director/Trustee Three

JASON CHOI
CHIEF FINANCIAL OFFICER
19631 YORBA LINDA BLVD SUITE A
YORBA LINDA CA 92886

Officer/Director/Trustee Four

LENETRA JEFFERSON
BOARD MEMBER
2700 SOMERSET DRIVE
NEW ORLEANS LA 70131

Officer/Director/Trustee Five

KENNETH COPELAND
TRUSTEE
14355 MORRIS DIDO ROAD
NEWARK TX 76071

Organization’s website
Organization’s email HELPDESK@HEROSHELTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name OLUWAPELUMI OLUKOTUN
Signature Title PRESIDENT
Signature Date 12/23/2020

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