FORM 1023-EZ for SHOT IN THE DARK
| Field | Data |
|---|---|
| EIN | 84-3232441 |
| Case Number | EO-2020135-000029 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHOT IN THE DARK |
| Organization’s Mailing Address | 750 E NORTHERN AVE UNIT 1066 |
| City | PHOENIX |
| State | AZ |
| ZIP | 85020-4173 |
| Accounting period End | 6 |
| Primary contact name | NICHOLAS JENSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NICHOLAS JENSEN
VICE CHAIR
750 E NORTHERN AVE UNIT 1066
PHOENIX AZ 85020-4173
Officer/Director/Trustee Two
BRIAN THOI
CHAIR
750 E NORTHERN AVE UNIT 1066
PHOENIX AZ 85020-4173
Officer/Director/Trustee Three
TORY HOWELL
SECRETARY
750 E NORTHERN AVE UNIT 1066
PHOENIX AZ 85020-4173
Officer/Director/Trustee Four
JESSIKA MILLER
TREASURER
750 E NORTHERN AVE UNIT 1066
PHOENIX AZ 85020-4173
Officer/Director/Trustee Five
RITA LEAL
OTHER OFFICER
750 E NORTHERN AVE UNIT 1066
PHOENIX AZ 85020-4173
| Organization’s website | HTTPS://SITDAZ.ORG/ |
|---|---|
| Organization’s email | COMMUNITY@SITDAZ.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/16/2020 |
| Organization Incorporation State | AZ |
| 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: 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 | 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 | NICHOLAS JENSEN |
| Signature Title | DIRECTOR |
| Signature Date | 5/12/2020 |
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