FORM 1023-EZ for SHIFT NATION INC

Field Data
EIN 83-2240962
Case Number EO-2019137-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIFT NATION INC
Organization’s Mailing Address 176 ORCHARD STREET
City BRIDGEPORT
State CT
ZIP 6608
Accounting period End 12
Primary contact name RICKARDO BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKARDO BROWN
PRESIDENT-CEO
176 ORCHARD STREET
BRIDGEPORT CT 6608

Officer/Director/Trustee Two

ALTHEA BROWN
VICE PRESIDENT
176 ORCHARD STREET
BRIDGEPORT CT 6608

Officer/Director/Trustee Three

BLAKE BIGGOT
BOARD MEMBER
60 SOUTH 10TH STREET
BROOKLYN NY 11249

Officer/Director/Trustee Four

STEPHEN ALLEN
BOARD MEMBER
150 BROOKLYN AVENUE
BROOKLYN NY 11203

Officer/Director/Trustee Five

NOELLA ALLWOOD
BOARD MEMBER
2970 TOSCANA LANE EAST
MARGATE FL 33063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 RICKARDO BROWN
Signature Title PRESIDENT-CEO
Signature Date 5/15/19

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