FORM 1023-EZ for ID SHALLIAH INC

Field Data
EIN 66-0946578
Case Number EO-2021064-000813
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ID SHALLIAH INC
Organization’s Mailing Address HC 4 BOX 8600
City CANOVANAS
State PR
ZIP 00729
Accounting period End 12
Primary contact name JAVIER VALEDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVIER VALEDON
PRESIDENT
HC
CANOVANAS PR 00729

Officer/Director/Trustee Two

MARIO LEBRON
VICE-PRESIDENT
HC 4 BOX 8484
CANOVANAS PR 00729

Officer/Director/Trustee Three

GENARO NEGRON
TREASURER
PO BOX 171
CANOVANAS PR 00729

Officer/Director/Trustee Four

MARITZA SANTIAGO
SECRETARY
PO BOX 1236
CANOVANAS PR 00729

Officer/Director/Trustee Five

KELVIN CAMIS
MEMBER
HC 4 BOX 8780
CANOVANAS PR 00729

Organization’s website
Organization’s email IDSHALIAH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2020
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 JAVIER VALEDON
Signature Title PRESIDENT
Signature Date 1/6/2021

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