FORM 1023-EZ for SUN-MOON TRANSPARENT SHELTER HEALTHWELLNESS PROGRAM

Field Data
EIN 85-3075096
Case Number EO-2020281-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUN-MOON TRANSPARENT SHELTER HEALTHWELLNESS PROGRAM
Organization’s Mailing Address 3119 CONVERSE
City EAST ST LOUIS
State IL
ZIP 62207
Accounting period End 12
Primary contact name CAMILLE HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE HENDERSON
PRESENT
3119 CONVERSE
EAST ST LOUIS IL 62207

Officer/Director/Trustee Two

MARQUIS JOHNSON
VIC PRESIDENT
5608 LABADIE AVE
ST LOUIS MO 63120

Officer/Director/Trustee Three

GINA JOHNSON
TREASURY
2137 ST LOUIS AVE
ST.LOUIS MO 63107

Officer/Director/Trustee Four

EARNEST JOHNSON
SECRETARY
3119 CONVERSE AVE
EAST ST. LOUIS IL 62207

Officer/Director/Trustee Five

YASMIN JOHNSON
Vic secretary
2135 ST LOUIS AVE
ST.LOUIS MO 63107

Organization’s website
Organization’s email HENDERSONCAMILLE19@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAMILLE HENDERSON
Signature Title PRESENT
Signature Date 10/5/2020

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