FORM 1023-EZ for SHIFT SCOLIOSIS AND ORTHOPEDICS INC

Field Data
EIN 47-2380245
Case Number EO-2014336-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHIFT SCOLIOSIS AND ORTHOPEDICS INC
Organization’s Mailing Address PO BOX 450
City SOUTH WINDSOR
State CT
ZIP 06074-1149
Accounting period End 12
Primary contact name JENNIFER RIPLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER RIPLEY
PRESIDENT
PO BOX 450
SOUTH WINDSOR CT 06074-1149

Officer/Director/Trustee Two

DEEPAK NAINANI
VICE PRESIDENT/TREASURER
700 WEST RAND ROAD APT C303
ARLINGTON HEIGHTS IL 60004

Officer/Director/Trustee Three

ROBERT MALLOY
SECRETARY
4 ARROWWOOD CIRCLE
SOUTH WINDSOR CT 06074-1149

Officer/Director/Trustee Four

DON BAILEY-FRANCOIS
BOARD MEMBER
17 MIDDLE ROAD
ELLINGTON CT 06029

Organization’s website WWW.SHIFTSCOLIOSIS.ORG
Organization’s email INFO@SHIFTSCOLIOSIS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
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 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
Signature Title
Signature Date

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