FORM 1023-EZ for CAMP SUNSHINE DAY AND RESPITE CENTER

Field Data
EIN 82-5450740
Case Number EO-2018141-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP SUNSHINE DAY AND RESPITE CENTER
Organization’s Mailing Address 748 MAIN STREET
City YANCEYVILLE
State NC
ZIP 27379
Accounting period End 12
Primary contact name CONNIE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE MILLER
PRESIDENT
748 MAIN STREET
YANCEYVILLE NC 27379

Officer/Director/Trustee Two

MARY LOUISE MCCAIN
VICE-PRESIDNET
2373 SEAMSTER RD
PROVIDENCE NC 27315

Officer/Director/Trustee Three

KATRINA DAVIS
SECRETARY
748 CLEARLAKE RD
NORTH CHESTERFIELD VA 23236

Officer/Director/Trustee Four

GINA LINNEY
TREASURER
6024 FRED EAST LANE
PLEASANT GARDEN NC 27313

Officer/Director/Trustee Five

NAKITA FERRELL
ASSISTANT SECRETARY
74 GLEN OAK DRIVE
DANVILLE VA 24541

Organization’s website
Organization’s email CAMPSUNSHINE748@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CONNIE MILLER
Signature Title PRESIDENT
Signature Date 5/17/18

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