FORM 1023-EZ for SHIELD OF COMFORT FOR SENIORS AND FAMILIES

Field Data
EIN 87-2321401
Case Number EO-2021267-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIELD OF COMFORT FOR SENIORS AND FAMILIES
Organization’s Mailing Address 3468 AUGUSTA STREET
City ATLANTA
State GA
ZIP 30349
Accounting period End 8
Primary contact name SABRINA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRINA CLARK
CEO
3468 AUGUSTA STREET
ATLANTA GA 30349

Officer/Director/Trustee Two

DONNA ANDERSON-WILLIAMS
SECRETARY
561 LAKEWATER ESTATES LANE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

LASHONDA GAMMELL
TREASURER
12075 HALEY LANE
HAMPTON GA 30228

Organization’s website
Organization’s email SOCSANDFAMILY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 No
Signature Name SABRINA CLARK
Signature Title CEO
Signature Date 9/22/2021

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