FORM 1023-EZ for THE GOOD SHEPHERD INC

Field Data
EIN 36-4965782
Case Number EO-2020224-000599
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GOOD SHEPHERD INC
Organization’s Mailing Address 118-47 222ND STREET
City CAMBRIA HEIGHTS
State NY
ZIP 11411
Accounting period End 12
Primary contact name BARRINGTON MCINISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRINGTON MCINNIS
DIRECTOR
118-47 222 STREET
CAMBRIA HEIGHTS NY 11411

Officer/Director/Trustee Two

JENNIFER MCINNIS
OFFICER
118-47 222 STREET
CAMBRIA HEIGHTS NY 11411

Officer/Director/Trustee Three

ONEIL MARTIN
TRUSTEE
88 OLIVER AVENUE
VALLEY STREAM NY 11508

Officer/Director/Trustee Four

JOAN STEWART
TRUSTEE
1244 DEAN STREET
BROOKLYN NY 11216

Officer/Director/Trustee Five

CLIFFORD PURAN
TRUSTEE
132 E 39TH STREET
BROOKLYN NY 11203

Organization’s website
Organization’s email MCINNISB66@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 BARRINGTON MCINNIS
Signature Title DIRECTOR
Signature Date 8/7/2020

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