FORM 1023-EZ for SHELLEYS HOUSE INC

Field Data
EIN 87-1041828
Case Number EO-2021236-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHELLEYS HOUSE INC
Organization’s Mailing Address 3504 W CATON AVENUE
City BALTIMORE
State MD
ZIP 21229
Accounting period End 12
Primary contact name SHERETHA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERETHA MOORE
EXECUTIVE DIRECTOR
7709 RILEY ROAD
SEVERN MD 21144

Officer/Director/Trustee Two

GABERELL MOORE
CHAIR
7709 RILEY ROAD
SEVERN MD 21144

Officer/Director/Trustee Three

DEIDRE WILLIAMS
VICE CHAIR
757 219 ST
PASADENA MD 21144

Officer/Director/Trustee Four

TOCARRA COLBERT
TREASURER
1804 A COPELAND STREET
ANNAPOLIS MD 21401

Officer/Director/Trustee Five

JAILYN HILL
SECRETARY
7709 RILEY RD
SEVERN MD 21042

Organization’s website SHELLEYHOUSE.ORG
Organization’s email INFO@SHELLEYSHOUSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2021
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 No
Signature Name SHERETHA MOORE
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/22/2021

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