FORM 1023-EZ for SELAH PLACE INC

Field Data
EIN 36-4927947
Case Number EO-2020006-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELAH PLACE INC
Organization’s Mailing Address 6791 58TH ST N
City PINELLAS PARK
State FL
ZIP 33781
Accounting period End 12
Primary contact name JODI MCCAULEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI MCCAULEY
DIRECTOR
6791 58TH ST N
PINELLAS PARK FL 33781

Officer/Director/Trustee Two

DINA HANKEN
BOARD MEMBER
1204 ASCHER ST
APLINGTON IA 50604

Officer/Director/Trustee Three

DEBRA BROWN
BOARD MEMBER
6637 32ND ST N
ST PETERSBURG FL 33702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 JODI MCCAULEY
Signature Title DIRECTOR
Signature Date 1/2/2020

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