FORM 1023-EZ for SHEPHERD HOUSE INC

Field Data
EIN 23-7241201
Case Number EO-2016246-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHEPHERD HOUSE INC
Organization’s Mailing Address 4250 TIREMAN
City DETROIT
State MI
ZIP 48204
Accounting period End 9
Primary contact name FAITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE JOHNSON
TREASURER
4250 TIREMAN ST
DETROIT MI 48204

Officer/Director/Trustee Two

RANDY WILLIAMS
SECRETARY
14350 CRESCENT DR
DETROIT MI 48223

Officer/Director/Trustee Three

FAITH FAITH
CHIEF EXECUTIVE OFFICER
4250 TIREMAN ST
DETROIT MI 48204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/1973
Organization Incorporation State MI
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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