FORM 1023-EZ for ITS INSTRUMENTAL

Field Data
EIN 81-1027081
Case Number EO-2016056-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ITS INSTRUMENTAL
Organization’s Mailing Address 5745 13TH STREET NW
City WASHINGTON
State DC
ZIP 20011
Accounting period End 12
Primary contact name EMILY WALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EMILY WALTON
MEMBER
5745 13TH STREET NW
WASHINGTON DC 20011

Officer/Director/Trustee Two

LAURA JEWETT
MEMBER
4807 DOVER COURT
BETHESDA MD 20816

Officer/Director/Trustee Three

ABNER JEWETT
MEMBER
4807 DOVER COURT
BETHESDA MD 20816

Officer/Director/Trustee Four

ROCELIA JOHNSON
MEMBER
419 QUINCY STREET
WASHINGTON DC 20011

Organization’s website HTTP://INSTRUMENTALATELLINGTON.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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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