FORM 1023-EZ for CASA SHALEM

Field Data
EIN 81-1111746
Case Number EO-2016071-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASA SHALEM
Organization’s Mailing Address 6050 DUCHESS AVE
City ABILENE
State TX
ZIP 79606-1022
Accounting period End 12
Primary contact name FELICIA MCGRINSON-JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FELICIA MCGRINSON-JOSEPH
DIRECTOR
6050 DUCHESS
ABILENE TX 79606-1022

Officer/Director/Trustee Two

LASHANDA LEWIS
DIRECTOR
3741 TRINITY LANE
ABILENE TX 79602

Officer/Director/Trustee Three

CHRISTINA MCGRINSON
DIRECTOR
6050 DUCHESS
ABILENE TX 79606-1022

Officer/Director/Trustee Four

LINDA RICHARDSON
SECRETARY
3333 S 2OTH STREET
ABILENE TX 79605

Organization’s website
Organization’s email FELICIAMJ22@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
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 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
Signature Title
Signature Date

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