FORM 1023-EZ for LIGHT SHINE MEDIA PROJECT FOUNDATION

Field Data
EIN 81-3504476
Case Number EO-2016231-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHT SHINE MEDIA PROJECT FOUNDATION
Organization’s Mailing Address 11919 CYPRESS PARK DRIVE
City HOUSTON
State TX
ZIP 77065
Accounting period End 4
Primary contact name AMY POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY POWELL
PRESIDENT
11919 CYPRESS PARK DRIVE
HOUSTON TX 77065

Officer/Director/Trustee Two

MARK TOWNSEND
VICE PRESIDENT
8306 RAMBLEBROOK COURT
HUMBLE TX 77396

Officer/Director/Trustee Three

SUMMER MCCLURE
SECRETARY
1225 NORTH LOOP WEST 1050
HOUSTON TX 77008

Officer/Director/Trustee Four

JEANNIE MCCLURE
TREASURER
14414 BRUSHY ARBOR LANE
HUMBLE TX 77396

Organization’s website WWW.LIGHTSHINEMEDIA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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