FORM 1023-EZ for FILL IN THE GAP

Field Data
EIN 83-2557296
Case Number EO-2021235-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FILL IN THE GAP
Organization’s Mailing Address 2293 ADAM CLAYTON POWELL JR
City NEW YORK
State NY
ZIP 10030
Accounting period End 12
Primary contact name GINA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA WILLIAMS
EXECUTIVE DIRECTOR
2293 ADAM CLAYTON POWELL JR
NEW YORK NY 10030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2018
Organization Incorporation State NY
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: Yes
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GINA WILLIAMS
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/19/2021

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