FORM 1023-EZ for THE SHEPHERDS CENTER OF GREAT FALLS

Field Data
EIN 82-5406919
Case Number EO-2018150-000593
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHEPHERDS CENTER OF GREAT FALLS
Organization’s Mailing Address 10914 LAKE WINDERMERE DR
City GREAT FALLS
State VA
ZIP 22066
Accounting period End 4
Primary contact name PHILIP PIFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP PIFER
PRESIDENT BOARD CHAIR
10914 LAKE WINDERMERE DR
GREAT FALLS VA 22066

Officer/Director/Trustee Two

WILLIAM RACHAL
TREASURER
1435 HUNTER VIEW FARMS
VIENNA VA 22182

Officer/Director/Trustee Three

CAROL EDELSTEIN
DIRECTOR
10411 VAN PATTEN LN
GREAT FALLS VA 22066

Officer/Director/Trustee Four

JACK EDELSTEIN
DIRECTOR
10411 VAN PATTEN LN
GREAT FALLS VA 22066

Officer/Director/Trustee Five

JOY TRICKETT
DIRECTOR
1126 RESTON AVE
HERNDON VA 20170

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHILIP PIFER
Signature Title PRESIDENT BOARD CHAIR
Signature Date 5/28/18

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