FORM 1023-EZ for SHINE A LIGHT ON AUTISM NORTH DAKOTA

Field Data
EIN 82-5250497
Case Number EO-2019224-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHINE A LIGHT ON AUTISM NORTH DAKOTA
Organization’s Mailing Address 1756 YELLOWSTONE CIRCLE
City DICKINSON
State ND
ZIP 58601
Accounting period End 12
Primary contact name EMILY GRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLIE DEWITT
PRESIDENT
747 8TH ST SW APT 204
DICKINSON ND 58601

Officer/Director/Trustee Two

EMILY GRAN
VICE PRESIDENT
1756 YELLOWSTONE CIRCLE
DICKINSON ND 58601

Officer/Director/Trustee Three

AMANDA HONIGSBERG
SECRETARY
3245 STEPHANIE DR
DICKINSON ND 58601

Officer/Director/Trustee Four

LINDSAY GENTILE
TREASURE
368 BRIDGEWATER DR
DICKINSON ND 58601

Officer/Director/Trustee Five

POLA BERRY
DIRECTOR
1156 21ST ST W
DICKINSON ND 58601

Organization’s website
Organization’s email SHINEALIGHTND@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/18
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
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 EMILY GRAN
Signature Title VICE PRESIDENT
Signature Date 8/9/19

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