FORM 1023-EZ for SHOULDERS NETWORK INC

Field Data
EIN 81-3782123
Case Number EO-2017065-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHOULDERS NETWORK INC
Organization’s Mailing Address 1535 YARDLEY STREET
City SANTA ROSA
State CA
ZIP 95403
Accounting period End 12
Primary contact name TINA RIPPERDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA RIPPERDA
PRESIDENT/DIRECTOR
1535 YARDLEY ST
SANTA ROSA CA 95403

Officer/Director/Trustee Two

NANCY ROBINSON
SECTY/TREAS/DIRECTOR
1535 YARDLEY ST
SANTA ROSA CA 95403

Officer/Director/Trustee Three

MARK ENKER
DIRECTOR
1535 YARDLEY ST
SANTA ROSA CA 95403

Officer/Director/Trustee Four

JACKSON KRASNEY
DIRECTOR
1535 YARDLEY ST
SANTA ROSA CA 95403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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 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
Signature Title
Signature Date

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