FORM 1023-EZ for CAMP SHEPHERD INC

Field Data
EIN 46-2150757
Case Number EO-2014272-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP SHEPHERD INC
Organization’s Mailing Address PO BOX 2687
City ANNISTON
State AL
ZIP 36202-2687
Accounting period End 12
Primary contact name TERESA CARTEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERESA CARTEE
DIRECTOR/ADMINISTRATOR
150 CIRCLE DRIVE
PELL CITY AL 35125

Officer/Director/Trustee Two

STANLEY CARTEE
DIRECTOR/ADMISTRATOR
150 CIRCLE DRIVE
PELL CITY AL 35125

Officer/Director/Trustee Three

BARBARA KELLY
DIRECTOR
111 CREST CIRCLE
PELL CITY AL 35128

Officer/Director/Trustee Four

TODD WACHS
DIRECTOR
1242 VALLEY STREET
PELL CITY AL 35128

Officer/Director/Trustee Five

LINDA WHITE
DIRECTOR
609 30TH ST NORTH
PELL CITY AL 35125

Organization’s website NONE
Organization’s email STANANDTERESA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2013
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 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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