FORM 1023-EZ for SHAPING HER EXPERIENCE INC

Field Data
EIN 83-3052716
Case Number EO-2019067-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAPING HER EXPERIENCE INC
Organization’s Mailing Address PO BOX 972
City EAST AURORA
State NY
ZIP 14052
Accounting period End 12
Primary contact name CRISTINA POLSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRISTINA POLSTON
DIRECTOR
450 OAKWOOD AVENUE
EAST AURORA NY 14052

Officer/Director/Trustee Two

DEBBIE KAVCIC
DIRECTOR
17 HICKORY LANE
EAST AURORA NY 14052

Officer/Director/Trustee Three

ANNE MARIE PATTERSON
DIRECTOR
140 KIRKWOOD DRIVE
EAST AURORA NY 14052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
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 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 CRISTINA POLSTON
Signature Title DIRECTOR
Signature Date 3/6/19

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