FORM 1023-EZ for SHEPHERDS OF MARY

Field Data
EIN 82-4922592
Case Number EO-2018100-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEPHERDS OF MARY
Organization’s Mailing Address 1404 HILLCREST ST
City GAUTIER
State MS
ZIP 39553
Accounting period End 6
Primary contact name ROBERT ILLANNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT ILLANNE
DIRECTOR AND PRESIDENT
1404 HILLCREST ST
GAUTIER MS 39553

Officer/Director/Trustee Two

MICHAEL KITCHEN
VICE PRESIDENT AND TREASURER
3925 HILLANDALE DR
GAUTIER MS 39553

Officer/Director/Trustee Three

PATRICIA HOUGHTON
DIRECTOR
2237 DARTMOUTH STREET
GAUTIER MS 39553

Officer/Director/Trustee Four

DAVID ALLEN
DIRECTOR
917 SAVANNAH PLACE
GULFPORT MS 39507

Officer/Director/Trustee Five

BRANDON GRAY
DIRECTOR
1908 HICKORY HILL DRIVE
GAUTIER MS 39553

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
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 No
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 ROBERT ILLANNE
Signature Title DIRECTOR AND PRESIDENT
Signature Date 4/5/18

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