FORM 1023-EZ for SHANNONS MEDICAL GROUP ORGANIZATIONS CORP

Field Data
EIN 85-1970274
Case Number EO-2020265-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHANNONS MEDICAL GROUP ORGANIZATIONS CORP
Organization’s Mailing Address 3303 S ARCHIBALD AVENUE - 83
City ONTARIO
State CA
ZIP 91761
Accounting period End 12
Primary contact name JAMES SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SHANNON
PRESIDENT/TREASURER/CEO
3303 S ARCHIBALD AVENUE - 83
ONTARIO CA 91761

Officer/Director/Trustee Two

ANDREA TAYLOR
SECRETARY
3303 S ARCHIBALD AVENUE - 83
ONTARIO CA 91761

Officer/Director/Trustee Three

KYLE CHOI
DIRECTOR
3303 S ARCHIBALD AVENUE - 83
ONTARIO CA 91761

Organization’s website
Organization’s email SHANNONSMEDICALORGANIZATIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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 JAMES SHANNON
Signature Title PRESIDENT/TREASURER/CEO
Signature Date 9/17/2020

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