FORM 1023-EZ for SUH-KUHR PARAGON SHELTER

Field Data
EIN 20-4799621
Case Number EO-2016256-000486
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUH-KUHR PARAGON SHELTER
Organization’s Mailing Address 44053 31ST ST WEST
City LANCASTER
State CA
ZIP 93536
Accounting period End 12
Primary contact name SHANDA JAMISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANDA JAMISON
CEO
44053 31ST ST WEST
LANCASTER CA 93536

Officer/Director/Trustee Two

THELMA HIEDEILBERG
SECRATERY
38040 27TH ST EAST
PALMDALE CA 93550

Officer/Director/Trustee Three

LASHANDA JONES
CHIEF EX. ACCT
11439 HELA AVE
LAKE VIEW TERRACE CA 91342

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2006
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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