FORM 1023-EZ for SHINES TIME WITH JESUS INC

Field Data
EIN 83-0598132
Case Number EO-2018141-000638
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHINES TIME WITH JESUS INC
Organization’s Mailing Address PO BOX 8124
City ROCKY MOUNT
State NC
ZIP 27804
Accounting period End 12
Primary contact name SHALANDA HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHALANDA HINES
FOUNDER
1120 STRAWBUSH ROAD
ROCKY MOUNT NC 27804

Officer/Director/Trustee Two

ANTONIO HINES
VICE PRESIDENT
1120 STRAWBUSH ROAD
ROCKY MOUNT NC 27804

Officer/Director/Trustee Three

PAMELA MAYO
BOARD MEMBER
100 HUNTERHILL ROAD APT 13A
TARBORO NC 27886

Organization’s website
Organization’s email SHINESTIMEWITHJESUS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 SHALANDA HINES
Signature Title FOUNDER
Signature Date 5/18/18

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