FORM 1023-EZ for THE SHINE COMMUNITY INC

Field Data
EIN 85-1168283
Case Number EO-2020149-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHINE COMMUNITY INC
Organization’s Mailing Address 1795 BUFORD HWY
City DULUTH
State GA
ZIP 30097
Accounting period End 12
Primary contact name WALLACE SHAFFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY LIM
CEO
541 WAGON HILL LANE
SUGAR HILL GA 30518

Officer/Director/Trustee Two

WALLACE SHAFFER
CFO
541 WAGON HILL LANE
SUGAR HILL GA 30518

Officer/Director/Trustee Three

MARTHA SHIN
SECRETARY
1683 BLUESTEM LANE
GLENVIEW IL 60026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2020
Organization Incorporation State GA
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WALLACE SHAFFER
Signature Title CFO
Signature Date 5/26/2020

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