FORM 1023-EZ for SHACKLEFORD-RHONE FAMILY FOUNDATION

Field Data
EIN 81-3480430
Case Number EO-2017158-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHACKLEFORD-RHONE FAMILY FOUNDATION
Organization’s Mailing Address 228 HULL STREET
City NEWARK
State OH
ZIP 43055
Accounting period End 12
Primary contact name JUANITA JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL BOYD
PRESIDENT
1079 HARDESTY PLACE EAST
COLUMBUS OH 43204

Officer/Director/Trustee Two

MARY THOMAS
VICE-PRESIDENT/HISTORIAN
228 HULL STREET
NEWARK OH 43055-4317

Officer/Director/Trustee Three

JUANITA JENKINS
SEC/TREAS.
1628 SPRUCE DRIVE
COLUMBUS OH 43217

Organization’s website SHACKLEFORDRHONE.COM
Organization’s email SHACKLEFORDRHONE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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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