FORM 1023-EZ for SHIFT FOUNDATION
| Field | Data |
|---|---|
| EIN | 46-4472246 |
| Case Number | EO-2017117-000370 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SHIFT FOUNDATION |
| Organization’s Mailing Address | 1132 USHER ST RM 199 |
| City | COVINGTON |
| State | GA |
| ZIP | 30014 |
| Accounting period End | 6 |
| Primary contact name | KATI RIDER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THOMAS KEPHART
BOARD CO-CHAIR
7200 HIGHWAY 278
COVINGTON GA 30014
Officer/Director/Trustee Two
GIGI EDWARDS
BOARD CO-CHAIR
9157 HAZELBRAND RD
COVINGTOIN GA 30014
Officer/Director/Trustee Three
KATI RIDER
CEO
1132 USHER RD RM 119
COVINGTON GA 30014
| Organization’s website | |
|---|---|
| Organization’s email | SHIFTFOUNDATION501@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/7/2014 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O12 - 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 | 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 | |
| Signature Title | |
| Signature Date | |
| EIN | 46-4472246 |
| Case Number | EO-2015071-000055 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SHIFT FOUNDATION |
| Organization’s Mailing Address | 1132 USHER ST |
| City | COVINGTON |
| State | GA |
| ZIP | 30014 |
| Accounting period End | 6 |
| Primary contact name | MAUREEN WOOD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
NICKI WORTHY
CEO, CFO
1132 USHER ST
COVINGTON GA 30014
Officer/Director/Trustee Two
MAUREEN WOOD
SECRETARY
938 CENTER ST
CONYERS GA 30012
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/7/2014 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O12 - 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 | 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 | |
| Signature Title | |
| Signature Date |
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