FORM 1023-EZ for SHEPHERDS GATE

Field Data
EIN 83-1721003
Case Number EO-2018320-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEPHERDS GATE
Organization’s Mailing Address 613 FAIR WINDS WAY
City OXON HILL
State MD
ZIP 20745
Accounting period End 12
Primary contact name KENAN PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVIN PETERSON
DIRECTOR
613 FAIR WINDS WAY
OXON HILL MD 20745

Officer/Director/Trustee Two

STEFANIE PETERSON
DIRECTOR
613 FAIR WINDS WAY
OXON HILL MD 20745

Officer/Director/Trustee Three

KENAN PETERSON
TRUSTEE
4129 GRANITE GLEN LOOP
WESLEY CHAPEL FL 33544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 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 KENAN PETERSON
Signature Title TRUSTEE
Signature Date 11/14/18

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