FORM 1023-EZ for THE SHEPHERDS SHELTER FOR THE HOMELESS INC

Field Data
EIN 83-1721435
Case Number EO-2018242-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHEPHERDS SHELTER FOR THE HOMELESS INC
Organization’s Mailing Address 1917 LAWRENCE ROAD
City ARDMORE
State OK
ZIP 73401
Accounting period End 12
Primary contact name LARRY PULLIAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THEODORE CLARK
PRESIDENT
1214 BUCKINGHAM STREET
ARDMORE OK 73401

Officer/Director/Trustee Two

MURL JIM
SECRETARY
800 D STREET SE
ARDMORE OK 73401

Officer/Director/Trustee Three

LATORIA PERRY
FINANCIAL SECRETARY
1917 LAWRENCE ROAD
ARDMORE OK 73401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 No
Correctness Declaration Yes
Signature Name THEODORE CLARK
Signature Title PRESIDENT
Signature Date 8/28/18

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