FORM 1023-EZ for BISHOPS RETREAT

Field Data
EIN 84-4073987
Case Number EO-2019361-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BISHOPS RETREAT
Organization’s Mailing Address 2427 KELLOGG CT
City DUARTE
State CA
ZIP 91010
Accounting period End 12
Primary contact name SHAE HARPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAE HARPER
DIRECTOR
2427
DUARTE CA 91010

Officer/Director/Trustee Two

NEOMI FLETCHER
DIRECTOR
6081 NORCROSS GLEN TRACE NW
NORCROSS GA 30071

Officer/Director/Trustee Three

MICHELLE JOHNSON
DIRECTOR
6112 PANORAMA
BAKERSFIELD CA 93306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAE HARPER
Signature Title DIRECTOR
Signature Date 12/24/2019

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