FORM 1023-EZ for TABLE23 INTERNATIONAL INC

Field Data
EIN 87-1666724
Case Number EO-2021200-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TABLE23 INTERNATIONAL INC
Organization’s Mailing Address 175 PORT MONMOUTH RD
City KEANSBURG
State NJ
ZIP 07734
Accounting period End 12
Primary contact name MICHAEL SHAHID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SHAHID
PRESIDENT DIRECTOR
175 PORT MONMOUTH RD
KEANSBURG NJ 07734

Officer/Director/Trustee Two

MAC BARNES
SECRETARY DIRECTOR
19 WIGWAM RD
LOCUST NJ 07760

Officer/Director/Trustee Three

KEVIN PIMBLOT
TREASURER DIRECTOR
320 WILLOTT SQUARE DR
ST. PETERS MO 63376

Officer/Director/Trustee Four

LUKE LIN
DIRECTOR
175 PORT MONMOUTH RD
KEANSBURG NJ 07734

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 MICHAEL SHAHID
Signature Title PRESIDENT DIRECTOR
Signature Date 7/16/2021
EIN 87-1666724
Case Number EO-2021200-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TABLE23 INTERNATIONAL INC
Organization’s Mailing Address 175 PORT MONMOUTH RD
City KEANSBURG
State NJ
ZIP 07734
Accounting period End 12
Primary contact name MICHAEL SHAHID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SHAHID
PRESIDENT DIRECTOR
175 PORT MONMOUTH RD
KEANSBURG NJ 07734

Officer/Director/Trustee Two

MAC BARNES
SECRETARY DIRECTOR
19 WIGWAM RD
LOCUST NJ 07760

Officer/Director/Trustee Three

KEVIN PIMBLOT
TREASURER DIRECTOR
320 WILLOTT SQUARE DR
ST. PETERS MO 63376

Officer/Director/Trustee Four

LUKE LIN
DIRECTOR
175 PORT MONMOUTH RD
KEANSBURG NJ 07734

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 MICHAEL SHAHID
Signature Title PRESIDENT DIRECTOR
Signature Date 7/16/2021

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