FORM 1023-EZ for JUDY SHAW FOUNDATION INC

Field Data
EIN 45-4578788
Case Number EO-2015358-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUDY SHAW FOUNDATION INC
Organization’s Mailing Address 1115 S HOLLY DRIVE
City SIOUX FALLS
State SD
ZIP 57105
Accounting period End 12
Primary contact name JUDY SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALICE J SHAW
PRESIDENT
1115 S HOLLY DRIVE
SIOUX FALLS SD 57105

Officer/Director/Trustee Two

REBEKAH YOUNGBLOOD
DIRECTOR
1312 WESTERN AVE
SIOUX FALLS SD 57105

Officer/Director/Trustee Three

GWENDOLYN CURRY
SECRETARY GENERAL
2847 IRON GATE LANE
CHARLOTTE NC 28212

Organization’s website
Organization’s email JSHAW@SIO.MIDCO.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2012
Organization Incorporation State SD
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: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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