FORM 1023-EZ for SHIFTING POTENTIAL INC

Field Data
EIN 85-2929331
Case Number EO-2020273-000758
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIFTING POTENTIAL INC
Organization’s Mailing Address 529 S 21ST AVE
City HOLLYWOOD
State FL
ZIP 33020
Accounting period End 12
Primary contact name DOROTHY CHATELIER-ORELUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY CHATELIER-ORELUS
FOUNDER
529 S 21ST AVE
HOLLYWOOD FL 33020

Officer/Director/Trustee Two

MARIE CHANTALE JOASSAINT
PRESIDENT
231 RIVERSIDE DR UNIT 1806
HOLLY HILL FL 32117

Officer/Director/Trustee Three

DONNA TRIM
VICE PRESIDENT
301 NW 177TH ST UNIT 214
MIAMI GARDENS FL 33169

Officer/Director/Trustee Four

RACHEL ALIN
SECRETARY
1560 NW 133RD ST
MIAMI FL 33167

Officer/Director/Trustee Five

TANYA LEMAIRE
TREASURER
6450 SW 15TH ST
NORTH LAUDERDALE FL 33068

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 DOROTHY CHATELIER-ORELUS
Signature Title FOUNDER
Signature Date 9/25/2020

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