FORM 1023-EZ for SHALOM OUTREACH MINISTRIES INC

Field Data
EIN 81-2293512
Case Number EO-2018108-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHALOM OUTREACH MINISTRIES INC
Organization’s Mailing Address 16540 S SCENIC DR
City BARBEAU
State MI
ZIP 49710
Accounting period End 12
Primary contact name BENSSON SAMUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA SIHA
INCORPORATOR
17350 STATE HWY 249 SUITE 220
HOUSTON TX 77064

Officer/Director/Trustee Two

BENSSON SAMUEL
RESIDENT AGENT
16540 SCENIC DRIVE
BARBEAU MI 49710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/16
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
Conducting Activities Outside of United States Yes
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 BENSSON SAMUEL
Signature Title RESIDENT AGENT
Signature Date 3/20/18

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