FORM 1023-EZ for SUPER HEROS ANIMAL HYDROCEPHALUS SOCIETY - SHAHS

Field Data
EIN 47-4556219
Case Number EO-2015238-000052
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPER HEROS ANIMAL HYDROCEPHALUS SOCIETY - SHAHS
Organization’s Mailing Address 10 GOLD STREET
City EDISON
State NJ
ZIP 08837-3221
Accounting period End 12
Primary contact name LISA BETH JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA JONES
EXECUTIVE DIRECTOR/CFO
10 GOLD STREET
EDISON NJ 08837-3221

Officer/Director/Trustee Two

GRACE KIZINA
SECRETARY
9310 SOUTH CREEK ROAD
GIRARD PA 16417-6904

Officer/Director/Trustee Three

LYNDA RODRIGO
VICE PRESIDENT
11 KINGSWOOD DRIVE
NEW HOPE PA 18938-2213

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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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