FORM 1023-EZ for I AM SHAMELESS INC

Field Data
EIN 82-5391989
Case Number EO-2018171-000730
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM SHAMELESS INC
Organization’s Mailing Address 900 WESTBROOK
City PLANO
State TX
ZIP 75075
Accounting period End 12
Primary contact name JARRET WILLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP MARKOFF
PRESIDENT
1011 KIRNWOOD CT
PLANO TX 75075

Officer/Director/Trustee Two

JARRET WILLEY
CFO
900 WESTBROOK
PLANO TX 75075

Officer/Director/Trustee Three

NANCY MARKOFF
VICE PRESIDENT
7025 HEMLOCK AVE APT 206
DALLAS TX 75231

Organization’s website IAMSHAMELESS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 NANCY MARKOFF
Signature Title VICE PRESIDENT
Signature Date 6/18/18

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