FORM 1023-EZ for SPOTTED SHARK FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 85-3660293 |
| Case Number | EO-2021027-000093 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SPOTTED SHARK FOUNDATION INC |
| Organization’s Mailing Address | 5016 SPEDALE COURT |
| City | SPRING HILL |
| State | TN |
| ZIP | 37174 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLY ASHER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIMOTHY JOHNSON
EXECUTIVE DIRECTOR
1240 ANDOVER DRIVE
ROSELLE IL 60172
Officer/Director/Trustee Two
MARYLOU PALACE
SECRETARY
5081 WILL BROWN ROAD
SPRING HILL TN 37174
Officer/Director/Trustee Three
ALYSSA JOHNSON
BOARD CHAIR
1240 ANDOVER DRIVE
ROSELLE IL 60172
Officer/Director/Trustee Four
CASSANDRA JOHNSON
TREASURER
2599 WESLEY SQUARE
THOMPSON STATION TN 37174
Officer/Director/Trustee Five
JENNIFER JOHNSON
CO-FOUNDER
1240 ANDOVER DRIVE
ROSELLE IL 60172
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/28/2020 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H80 - Specifically Named Diseases Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TIMOTHY JOHNSON |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 12/5/2020 |
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