FORM 1023-EZ for SHALOM CHRISTIAN INTERNATIONAL

Field Data
EIN 83-3503456
Case Number EO-2019148-000632
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHALOM CHRISTIAN INTERNATIONAL
Organization’s Mailing Address 16445 SE 128TH STREET
City RENTON
State WA
ZIP 98059
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAGALI PEREZ
DIRECTOR
16445 SE 128TH STREET
RENTON WA 98059

Officer/Director/Trustee Two

JOSE PEREZ ZUNIGA
DIRECTOR
16445 SE 128TH STREET
RENTON WA 98059

Officer/Director/Trustee Three

ANGEL GUTIERREZ MOLINA
DIRECTOR
29273 SE 5TH STREET
FALL CITY WA 98024

Officer/Director/Trustee Four

MIRIAM RAMIREZ MAGDALENO
DIRECTOR
29073 SE 5TH STREET
FALL CITY WA 98024

Officer/Director/Trustee Five

EDWIN LOPEZ GOMEZ
DIRECTOR
16445 SE 128TH STREET
RENTON WA 98059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MAGALI PEREZ
Signature Title DIRECTOR
Signature Date 5/25/19

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