FORM 1023-EZ for GIVE IT A SHOT CORPORATION

Field Data
EIN 87-1145564
Case Number EO-2021165-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVE IT A SHOT CORPORATION
Organization’s Mailing Address 1008 APPLEWOOD DR
City CLEARWATER
State FL
ZIP 33759
Accounting period End 12
Primary contact name GARRETT HERBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRETT HERBERT
PRESIDENT
1008 APPLEWOOD DR
CLEARWATER FL 33759

Officer/Director/Trustee Two

BRIANNA HERBERT
VICE PRESIDENT
1008 APPLEWOOD DR
CLEARWATER FL 33759

Officer/Director/Trustee Three

AMBER HERBERT
TREASURER
455 OCEANVIEW DR
PALM HARBOR FL 34683

Officer/Director/Trustee Four

LORI PIRTLE
SECRETARY
630 RIVERSIDE DR
TARPON SPRINGS FL 34689

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 GARRETT HERBERT
Signature Title PRESIDENT
Signature Date 6/10/2021

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