FORM 1023-EZ for ANDRE SHEARD FOUNDATION

Field Data
EIN 81-1524011
Case Number EO-2016076-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDRE SHEARD FOUNDATION
Organization’s Mailing Address 271 MUNGER LN APT 32
City HANNIBAL
State MO
ZIP 63401-2375
Accounting period End 12
Primary contact name ANDRE SHEARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDRE SHEARD
PRESIDENT
271 MUNGER LN APT 32
HANNIBAL MO 63401-2375

Officer/Director/Trustee Two

SANDRA SHEARD
TREASURER
4009 RIVER BLUFF
HANNIBAL MO 63401-6595

Officer/Director/Trustee Three

DANNY ALVEAR
VICE PRESIDENT
19 WAUNETA PL
HANNIBAL MO 63401-2366

Officer/Director/Trustee Four

SELENA PRATT
SECRETARY
4029 WINDMERE DR
HANNIBAL MO 63401-2476

Organization’s website
Organization’s email ANDRE_SHEARD@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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