FORM 1023-EZ for SHIFT CHANGE

Field Data
EIN 85-2103344
Case Number EO-2020247-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIFT CHANGE
Organization’s Mailing Address 117 W GAY ST STE 324
City WEST CHESTER
State PA
ZIP 19380
Accounting period End 12
Primary contact name DANIELLE AMARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE AMARI
PRESIDENT / DIRECTOR
117 W GAY ST STE 324
WEST CHESTER PA 19380

Officer/Director/Trustee Two

DOUGLAS PERNA
TREASURER / SECRETARY
117 W GAY ST STE 324
WEST CHESTER PA 19380

Officer/Director/Trustee Three

ALYCIA MARSILI
DIRECTOR
117 W GAY ST STE 324
WEST CHESTER PA 19380

Officer/Director/Trustee Four

KELSEY BJOLA
DIRECTOR
117 W GAY ST STE 324
WEST CHESTER PA 19380

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2020
Organization Incorporation State PA
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 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 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 DANIELLE AMARI
Signature Title PRESIDENT / DIRECTOR
Signature Date 9/1/2020

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