FORM 1023-EZ for SHOSHONE COMMUNITY DEVELOPMENT CORPORATION

Field Data
EIN 84-5039653
Case Number EO-2020071-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHOSHONE COMMUNITY DEVELOPMENT CORPORATION
Organization’s Mailing Address 707 CALEDONIA
City KELLOGG
State ID
ZIP 83837
Accounting period End 12
Primary contact name LISA HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA HARDY
TREASURER
707 CALEDONIA
KELLOGG ID 83837

Officer/Director/Trustee Two

JACQUELINE FIELDS
SECRETARY
59 JIM OTTO RD
PINEHURST ID 83850

Officer/Director/Trustee Three

VALERIE WADE
PRESIDENT
306 LONE RANGER CT
PINEHURST ID 83850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2020
Organization Incorporation State ID
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: Yes
Literary: Yes
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 Yes
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 Yes
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 No
Correctness Declaration Yes
Signature Name LISA HARDY
Signature Title TREASURER
Signature Date 3/9/2020

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