FORM 1023-EZ for SHELTER TECH

Field Data
EIN 38-3984099
Case Number EO-2016208-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELTER TECH
Organization’s Mailing Address 632 COLE STREET
City SAN FRANCISCO
State CA
ZIP 94117
Accounting period End 12
Primary contact name ALICE HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HICHAM SABIR
PRESIDENT, SECRETARY
284A ELLSWORTH ST
SAN FRANCISCO CA 94110

Officer/Director/Trustee Two

ALICE HENRY
TREASURER, BUSINESS DEVELOPMENT
284A ELLSWORTH ST
SAN FRANCISCO CA 94110

Officer/Director/Trustee Three

DARCEL JACKSON
BOARD DIRECTOR
1165 TREAT AVENUE
SAN FRANCISCO CA 94110

Officer/Director/Trustee Four

DEREK FIDLER
BOARD DIRECTOR, PRODUCT LEAD
26 DEARBORN ST
SAN FRANCISCO CA 94110

Officer/Director/Trustee Five

JOE FREUND
BOARD DIRECTOR, DEVELOPMENT LEAD
632 COLE ST
SAN FRANCISCO CA 94117

Organization’s website WWW.ASKDARCEL.ORG
Organization’s email TEAM@SHELTERTECH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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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