FORM 1023-EZ for INSTRUMENTS AT THE SHOP INC

Field Data
EIN 82-4908414
Case Number EO-2018136-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTRUMENTS AT THE SHOP INC
Organization’s Mailing Address 14707 NW 147TH AVE
City ALACHUA
State FL
ZIP 32615
Accounting period End 12
Primary contact name WILLIAM SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM SMITH
CHIEF EXECUTIVE OFFICER
14707 NW 147TH AVE
ALACHUA FL 32615

Officer/Director/Trustee Two

AMY BRUGGER
CHIEF OPERATIONS OFFICER
1680 SW 105TH ST
TRENTON FL 32693

Officer/Director/Trustee Three

MARY GIBSON
CHIEF FINANCIAL OFFICER
14707 NW 147TH AVE
ALACHUA FL 32615

Officer/Director/Trustee Four

MAKENZIE BRUGGER
ACTIVITY COORDINATOR
1680 SW 105TH ST
TRENTON FL 32693

Organization’s website INTHESHOP.ORG
Organization’s email BILLATTHESHOP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 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 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 WILLIAM SMITH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 5/13/18

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