FORM 1023-EZ for THE SOBER SHEPHERD INC

Field Data
EIN 45-0080454
Case Number EO-2017118-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SOBER SHEPHERD INC
Organization’s Mailing Address 18 PARKVIEW DR
City WESTVILLE
State NJ
ZIP 08093
Accounting period End 12
Primary contact name JOHN GILLESPIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN GILLESPIE
CEO
18 PARKVIEW DR
WESTVILLE NJ 08093

Officer/Director/Trustee Two

HAROLD WILLIAM
MEMBER
6 MINIVER CT
MT. LAUREL NJ 08054

Officer/Director/Trustee Three

ROSE SIMILA
MEMBER
311 N STOCKTON AVE
WENONAH NJ 08090

Organization’s website WWW.THESOBERSHEPHERD.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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
Signature Title
Signature Date

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