FORM 1023-EZ for SHALOM ECONOMIC EMPOWERMENT INC

Field Data
EIN 72-1442677
Case Number EO-2015194-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHALOM ECONOMIC EMPOWERMENT INC
Organization’s Mailing Address 624 LOUISE STREET
City MANSFIELD
State LA
ZIP 71052-6502
Accounting period End 12
Primary contact name GEORGE L THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE L THOMAS
PRESIDENT
624 LOUISE STREET
MANSFIELD LA 71052-6502

Officer/Director/Trustee Two

ROSE T JACKSON
DIRECTOR
130 WHITE OAK DR
MANSFIELD LA 71052-6502

Officer/Director/Trustee Three

BARBARA SIMPSON
SECRETARY
137 DAW RD
MANSFIELD LA 71052-6502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/1998
Organization Incorporation State LA
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: 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 Yes
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 Yes
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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