FORM 1023-EZ for THE SHEPHARD INSTITUTION FOR THE PREVENTION OF DOMESTIC VIOLENCE

Field Data
EIN 20-1346373
Case Number EO-2015135-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SHEPHARD INSTITUTION FOR THE PREVENTION OF DOMESTIC VIOLENCE
Organization’s Mailing Address 315 WEST LINCOLN AVE UNIT 7
City ORANGE
State CA
ZIP 92865
Accounting period End 12
Primary contact name TIMOTHY SHEPHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY SHEPHARD
DIRECTOR/PRESIDENT
1554 WEST 79TH STREET
LOS ANGELES CA 90047

Officer/Director/Trustee Two

LINDA MCGEE
DIRECTOR/SECRETARY
14000 S WILKIE AVE
GARDENA CA 90249

Officer/Director/Trustee Three

MELVIN SHEPHARD
DIRECTOR/VICE PRESIDENT
3549 WEST 108TH STREET
INGLEWOOD CA 90303

Organization’s website WWW.SHEPHARDINSTITUTE.ORG
Organization’s email TMSHEPHARD@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2004
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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