FORM 1023-EZ for THE SHEPARDS HOUSE OF TENDER CARE

Field Data
EIN 82-0876831
Case Number EO-2017109-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SHEPARDS HOUSE OF TENDER CARE
Organization’s Mailing Address 103 HOLLY STREET E
City HAMPTON
State SC
ZIP 29924-5453
Accounting period End 12
Primary contact name JOYCE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE DAVIS
TREASURER
200 PEPPER STREET
HAMPTON SC 29924-5453

Officer/Director/Trustee Two

LEROY D DAVIS
PRESIDENT
5474 OAKLEY IND BLVD APT 716
FAIRBURN GA 30213-6006

Officer/Director/Trustee Three

JANICE HOUSEY
CHAIRMAN
617 ASHLEY DRIVE
HAMPTON SC 29924-5453

Officer/Director/Trustee Four

ERICA GRANT
SECRETARY
128 SOJOURNER TRUTH LANE
VARNVILLE SC 29944

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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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