FORM 1023-EZ for SHINE FOR ISLA
| Field | Data |
|---|---|
| EIN | 85-4245957 |
| Case Number | EO-2021174-000200 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHINE FOR ISLA |
| Organization’s Mailing Address | 2220 186TH AVE E |
| City | LAKE TAPPS |
| State | WA |
| ZIP | 98391 |
| Accounting period End | 12 |
| Primary contact name | MELISSA JURCAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELISSA JURCAN
EXECUTIVE DIRECTOR
2220 186TH AVE E
LAKE TAPPS WA 98391
Officer/Director/Trustee Two
REBECCA M
OFFICER
2101 170TH AVE E
LAKE TAPPS WA 98391
Officer/Director/Trustee Three
TARA BOHL
DIRECTOR
21318 18TH ST E
LAKE TAPPS WA 98391
Officer/Director/Trustee Four
STACIE KAISER
DIRECTOR
22805 36TH ST E BUCKLEY
BUCKLEY WA 98321
Officer/Director/Trustee Five
JERI KELLY
DIRECTOR
18125 97TH AVE CT E
PUYALLUP WA 98375
| Organization’s website | WWW.SHINEFORISLA.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/27/2020 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MELISSA JURCAN |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 6/22/2021 |
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