FORM 1023-EZ for SHEPHERD RAM VAN INC

Field Data
EIN 84-3208335
Case Number EO-2019277-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEPHERD RAM VAN INC
Organization’s Mailing Address 205 W LIBERTY ST
City CHARLES TOWN
State WV
ZIP 25414
Accounting period End 12
Primary contact name ERIC LEWIS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC LEWIS
TREASURER
205 W LIBERTY ST
CHARLES TOWN WV 25414

Officer/Director/Trustee Two

CHRISTOPHER COLBERT
PRESIDENT
450 FOXCROFT AVE
MARTINSBURG WV 25401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC LEWIS
Signature Title TREASURER
Signature Date 9/30/19

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