FORM 1023-EZ for SHANIYA ROSE CDC

Field Data
EIN 81-3314824
Case Number EO-2017061-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHANIYA ROSE CDC
Organization’s Mailing Address 504 NE 15TH ST
City FT. LAUDERDALE
State FL
ZIP 33301
Accounting period End 12
Primary contact name CHERYL LOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL LOWE
TRUSTEE
504 NE 15TH ST
FT. LAUDERDALE FL 33301

Officer/Director/Trustee Two

CHERYL LOWE
EXECUTIVE DIRECTOR
504 NE 15TH ST
FT. LAUDERDALE FL 33301

Officer/Director/Trustee Four

TANEKA WOODS
PRESIDENT
1538 BENJAMIN
GRAND RAPIDS MI 49505

Officer/Director/Trustee Five

ANGELA LONG
TRUSTEE
2824 28TH ST
GRAND RAPIDS MI 49505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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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