FORM 1023-EZ for THE SHEPARDS HOUSE INC

Field Data
EIN 84-2761903
Case Number EO-2019233-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHEPARDS HOUSE INC
Organization’s Mailing Address 570 W 2ND ST
City RIVIERA BEACH
State FL
ZIP 33496
Accounting period End 12
Primary contact name ERIC SALAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC SALAMA
PRESIDENT
4285 NW 66TH PLACE
BOCA RATON FL 33496

Officer/Director/Trustee Two

CLAUDIA MARINOFF
VP
4285 NW 66TH PLACE
BOCA RATON FL 33496

Officer/Director/Trustee Three

SOPHIE NOACH
SECRETARY
4285 NW 66TH PLACE
BOCA RATON FL 33496

Organization’s website
Organization’s email CLAUDIA_MARINOFF@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State FL
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 Yes
Donation of funds Yes
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 CLAUDIA MARINOFF
Signature Title VP
Signature Date 8/19/19

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