FORM 1023-EZ for BE A LIGHT MISSION SERVICE CENTER INC

Field Data
EIN 85-3182486
Case Number EO-2021028-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE A LIGHT MISSION SERVICE CENTER INC
Organization’s Mailing Address 3725 HERON ISLAND DRIVE
City NEW PORT RICHEY
State FL
ZIP 34655
Accounting period End 12
Primary contact name RAENELL SHIRLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAENELL SHIRLEY
PRESIDENT
3725 HERON ISLAND DRIVE
NEW PORT RICHEY FL 34655

Officer/Director/Trustee Two

PERRY WHITE
TREASURER
2625 WARWICK TERRACE
PALM HARBOR FL 34685

Officer/Director/Trustee Three

THOMAS TOY
SECRETARY
2370 MESSENGER CIRCLE
SAFETY HARBOR FL 34695

Organization’s website bealightmissions.org
Organization’s email raenell.shirley@bealightmissions.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
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 RAENELL SHIRLEY
Signature Title PRESIDENT
Signature Date 12/12/2020

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