FORM 1023-EZ for SHEPHERDS PLACE FOUNDATION INC

Field Data
EIN 82-4141302
Case Number EO-2018128-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEPHERDS PLACE FOUNDATION INC
Organization’s Mailing Address 7431 N PALAFOX ST APT H
City PENSACOLA
State FL
ZIP 32503
Accounting period End 12
Primary contact name SHIRLEY STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY STONE
PRESIDENT
7431 N PALAFOX ST APT H
PENSACOLA FL 32503

Officer/Director/Trustee Two

KAREN SCHUFORD
DIRECTOR
6880 JEFFERSON ST
CENTURY FL 35235

Officer/Director/Trustee Three

MARGAREE MILLS FITCHETTE
DIRECTOR
3524 GRANDVIEW ST
PENSACOLA FL 32505

Officer/Director/Trustee Four

JESSIE GAITHER
DIRECTOR
2047 JUNO CIR
PENSACOLA FL 32526

Officer/Director/Trustee Five

AUSTIN CONNER
DIRECTOR
913 P ST
PENSACOLA FL 32505

Organization’s website
Organization’s email SHEPHERDSPLACERE3@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 SHIRLEY STONE
Signature Title PRESIDENT
Signature Date 5/1/18

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