FORM 1023-EZ for THROUGH HIS EYES MISSION INC

Field Data
EIN 16-1695089
Case Number EO-2020036-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THROUGH HIS EYES MISSION INC
Organization’s Mailing Address 338 BOEING ST NW
City LAKE PLACID
State FL
ZIP 33852
Accounting period End 12
Primary contact name CHRISTA L REMINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARITY REMINGTON
EXECUTIVE DIRECTOR
338 BOEING ST NW
LAKE PLACID FL 33852

Officer/Director/Trustee Two

CHRISTA REMINGTON
CFO
5718 WEDGEFIELD DRIVE
ZEPHYRHILLS FL 33541

Officer/Director/Trustee Three

HOLLY BLACKBURN
OFFICER
933 ALBION STREET
PALM BAY FL 32907

Officer/Director/Trustee Four

SHELBY BLACKBURN
OFFICER
5836 MARVINS PLACE
GROVELAND FL 34736

Officer/Director/Trustee Five

SANDRA SIMONEAUX
OFFICER
3306 EMAN DRIVE
JACKSONVILLE FL 32216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2003
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTA REMINGTON
Signature Title CFO
Signature Date 2/3/2020

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