FORM 1023-EZ for SHEMSU RA

Field Data
EIN 82-3108419
Case Number EO-2017303-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHEMSU RA
Organization’s Mailing Address 9715 COTTAGE ST
City PEARLAND
State TX
ZIP 77584
Accounting period End 12
Primary contact name CHERYL WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL WHITE
PRESIDENT, TREASURER, DIRECTOR
9715 COTTAGE ST
PEARLAND TX 77584

Officer/Director/Trustee Two

KALIFA KELLY
SECRETARY, DIRECTOR
9715 COTTAGE ST
PEARLAND TX 77584

Officer/Director/Trustee Three

MARK HARVEY
VICE PRESIDENT, DIRECTOR
9715 COTTAGE ST
PEARLAND TX 77584

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State TX
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: Yes
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 Yes
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 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
Signature Title
Signature Date

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