FORM 1023-EZ for THE FRIENDS OF SHAWN KERRI

Field Data
EIN 87-1682666
Case Number EO-2021217-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FRIENDS OF SHAWN KERRI
Organization’s Mailing Address 1646 WELLINGTON PL
City WESTLAKE VILLAGE
State CA
ZIP 91361-1535
Accounting period End 12
Primary contact name BRADLEY JON NIEMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY NIEMANN
BOARD DIRECTOR
1646 WELLINGTON PL
WESTLAKE VILLAGE CA 91361-1535

Officer/Director/Trustee Two

RUFUS DAYGLO
VICE CHAIR
21 RUE ANTOINE DURAFOUR
ST. ETIENNE CA 42100

Officer/Director/Trustee Three

HAIFAA AL MANSOUR
SECRETARY
1646 WELLINGTON PLACE
WESTLAKE VILLAGE CA 91361

Officer/Director/Trustee Four

RUBEN FRAUSTO
TREASURER
1198 BENJAMIN PLACE
EL CAJON CA 92020

Officer/Director/Trustee Five

JANELLE HESSIG
BOARD MEMBER
58 YOSEMITE AVE APT B
SAN FRANCISCO CA 94611

Organization’s website
Organization’s email SHAWNSFRIENDS@THEVENDORHOUSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 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 BRADLEY NIEMANN
Signature Title BOARD DIRECTOR
Signature Date 8/4/2021

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