FORM 1023-EZ for WORTHSHOP INC

Field Data
EIN 47-2734256
Case Number EO-2015310-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WORTHSHOP INC
Organization’s Mailing Address 450 COMMONWEALTH AVENUE 1A
City BRONX
State NY
ZIP 10473
Accounting period End 12
Primary contact name LATASHA TOMAY DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LATASHA TOMAY DOUGLAS
PRESIDENT
2455 WILLIAMSBRIDGE ROAD 6A
BRONX NY 10469

Officer/Director/Trustee Two

MALLESHA MALCOLM
TREASURER
140 PELHAM ROAD APT 5J
NEW ROCHELLE NY 10805

Officer/Director/Trustee Three

RUTH CARABALLO
SECRETARY
3162 BAINBRIDGE AVENUE APT 2A
BRONX NY 10467

Organization’s website WWW.WORTHSHOPINC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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