FORM 1023-EZ for SHINE INCORPORATED

Field Data
EIN 26-3214691
Case Number EO-2016330-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHINE INCORPORATED
Organization’s Mailing Address 4211 N CHELMSFORD AVE
City MERIDIAN
State ID
ZIP 83646
Accounting period End 5
Primary contact name JOY CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOY CAMERON
PRESIDENT
4211 N CHELMSFORD AVE
MERIDIAN ID 83646

Officer/Director/Trustee Two

JESSICA TANNER
VICE PRESIDENT/TREASURER
4211 N CHELMSFORD AVE
MERIDIAN ID 83646

Officer/Director/Trustee Three

BROOKE GIBSON
SECRETARY
4211 N CHELMSFORD AVE
MERIDIAN ID 83646

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2008
Organization Incorporation State ID
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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