FORM 1023-EZ for NO MORE SHACKLES WOMENS SAFE HOUSE INC

Field Data
EIN 27-2875649
Case Number EO-2017222-000477
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NO MORE SHACKLES WOMENS SAFE HOUSE INC
Organization’s Mailing Address 107-34 157TH STREET
City JAMAICA
State NY
ZIP 11433
Accounting period End 12
Primary contact name DENISE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE TAYLOR
PRESIDENT
107-34 157TH STREET
JAMAICA NY 11433

Officer/Director/Trustee Two

GLORIA JEFFERSON
BOARD MEMBER
88-73 193RD STREET APT 4C
HOLLIS NY 11423

Officer/Director/Trustee Three

ETHEL PERDUE
TREASURER
97-28 57TH AVENUE 3B
CORONA NY 11368

Officer/Director/Trustee Four

DONNA MITCHELL
SECRETARY
114-17 203RD STREET
ST ALBANS NY 11412

Officer/Director/Trustee Five

KEVIN TAYLOR
BOARD MEMBER
107-34 157TH STREET
JAMAICA NY 11433

Organization’s website
Organization’s email DTAYLOR4CHRIST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State NY
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 Yes
Donation of funds Yes
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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