FORM 1023-EZ for GISTEM INC GIRLS IMPACTING SCIENCETECHNOLOGY ENGINEERING MATHEMATICS

Field	Data
EIN	83-3047735
Case Number	EO-2019031-001045
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	GISTEM INC GIRLS IMPACTING SCIENCETECHNOLOGY ENGINEERING MATHEMATICS
Organization’s Mailing Address	4906 LINDY LANE
City	RICHMOND
State	VA
ZIP	23224
Accounting period End	12
Primary contact name	LATOYA N MAYFIELD
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

LATOYA MAYFIELD
PRESIDENT/DIRECTOR
4906 LINDY LANE
RICHMOND VA 23224

Officer/Director/Trustee Two

SHATARA MAYFIELD
DIRECTOR
11000 DYLANS WALK ROAD APT 101
CHESTER VA 23831

Officer/Director/Trustee Three

ELIZABETH KISSELL
DIRECTOR
7660 BEVERLY BLVD APT 250
LOS ANGELES CA 90036

Officer/Director/Trustee Four

SAQUEYA MOORE
DIRECTOR
1200 HARRISON CREEK BLVD APT 10-202
PETERSBURG VA 23803

Officer/Director/Trustee Five

DEJA SHABAZZ
DIRECTOR
1756 ALASKA DRIVE
RICHMOND VA 23224

Organization’s website
Organization’s email	GISTEM18@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	1/3/19
Organization Incorporation State	VA
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	P30 - Children's, Youth 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	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	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	LATOYA MAYFIELD
Signature Title	PRESIDENT/DIRECTOR
Signature Date	1/8/19
EIN	83-3047735
Case Number	EO-2019031-001045
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	GISTEM INC GIRLS IMPACTING SCIENCE TECHNOLOGY ENGINEERING MATHEMATICS
Organization’s Mailing Address	4906 LINDY LANE
City	RICHMOND
State	VA
ZIP	23224
Accounting period End	12
Primary contact name	LATOYA N MAYFIELD
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00