FORM 1023-EZ for SHOP-T

Field Data
EIN 82-3273937
Case Number EO-2017325-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHOP-T
Organization’s Mailing Address 1300 MANATEE AVE EAST
City BRADENTON
State FL
ZIP 34208
Accounting period End 12
Primary contact name CANDISE EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDISE EVANS
CHEIF EXECUTIVE OFFICER
5445 36TH CT EAST APT 105
ELLENTON FL 34222

Officer/Director/Trustee Two

DAPHANEY TOWNS
TRESURER
1011 8TH AVE EAST
BRADENTON FL 34208

Officer/Director/Trustee Three

PAULETTE STEPHENS
SECRETARY
1011 8TH AVE EAST
BRADENTON FL 34208

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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