FORM 1023-EZ for THE SILVER SHADOW

Field Data
EIN 47-3133710
Case Number EO-2015119-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SILVER SHADOW
Organization’s Mailing Address 340 S LEMON AVE 9119
City WALNUT
State CA
ZIP 91789-2706
Accounting period End 12
Primary contact name JOHN GRAY BEVERLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN BEVERLEY
PRESIDENT - DIRECTOR
340 S LEMON AVE 9119
WALNUT CA 91789-2706

Officer/Director/Trustee Two

ROSA BEVERLEY
DIRECTOR
122 TERRACE AVE
ELKIN NC 28621-3332

Officer/Director/Trustee Three

BENNO SCHMIDT
DIRECTOR
601 W 57TH STREET APT 6N
NEW YORK NY 10019-1066

Organization’s website
Organization’s email ADMIN@THESILVERSHADOW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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