FORM 1023-EZ for SHALOM COMMUNITIES INC

Field Data
EIN 85-1790361
Case Number EO-2020237-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHALOM COMMUNITIES INC
Organization’s Mailing Address 1750 MOUNTAIN VIEW ROAD -18
City HARRISBURG
State PA
ZIP 17110
Accounting period End 12
Primary contact name YVETTE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED SMITH
BOARD PRESIDENT
4647 WENDA STREET B405
HOUSTON TX 77051

Officer/Director/Trustee Two

YVETTE DAVIS
EXECUTIVE DIRECTOR
1750 MOUNTAIN VIEW ROAD SUITE 18
HARRISBURG PA 17110

Officer/Director/Trustee Three

KELLY SUMMERFORD
TREASURER
1937 MARKET STREET
HARRISBURG PA 17103

Officer/Director/Trustee Four

BRIAN DAVIS
SECRETARY
14 NICOLL AVENUE
CENTRAL ISLIP NY 11722

Organization’s website
Organization’s email SHALOM.COMMUNITIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building 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 FRED SMITH
Signature Title BOARD PRESIDENT
Signature Date 8/20/2020

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