FORM 1023-EZ for SHEPHERD PARK CITIZENS ASSOCIATION

Field Data
EIN 47-4197458
Case Number EO-2015202-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHEPHERD PARK CITIZENS ASSOCIATION
Organization’s Mailing Address 1301 GERANIUM STREET NW
City WASHINGTON
State DC
ZIP 20012-1705
Accounting period End 12
Primary contact name CARL BERGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK PATTISON
PRESIDENT
1221 FLORAL STREET NW
WASHINGTON DC 20012-1705

Officer/Director/Trustee Two

YVETTE PEARSON
VICE PRESIDENT
1420 IRIS STREET NW
WASHINGTON DC 20012-1705

Officer/Director/Trustee Three

CARL BERGMAN
TREASURER
1301 GERANIUM ST NW
WASHINGTON DC 20012-1705

Organization’s website SHEPHERDPARK.ORG
Organization’s email CARL@SLVRSFT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1988
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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
Signature Title
Signature Date

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