FORM 1023-EZ for THE GAP INITIATIVE

Field Data
EIN 82-1984411
Case Number EO-2017181-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GAP INITIATIVE
Organization’s Mailing Address 6596 QUAIL CREEK DR
City CANAL WINCHESTER
State OH
ZIP 43110
Accounting period End 6
Primary contact name JASMINE ORTIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE ORTIZ
PRESIDENT
6596 QUAIL CREEK DR
CANAL WINCHESTER OH 43110

Officer/Director/Trustee Two

MCGODSON BEN-JUMBO
VICE PRESIDENT
2513 DAHLIA WAY
COLUMBUS OH 43235

Officer/Director/Trustee Three

LAURA DAVIS-PERRY
SECRETARY
4359 COLBY AVE
COLUMBUS OH 43227

Officer/Director/Trustee Four

LAKIA GOODMAN
TREASURER
7188 GROSBEAK ST
UNION CITY GA 30291

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 Yes
Donation of funds Yes
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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