FORM 1023-EZ for BRITNYS LIGHT INC

Field Data
EIN 82-5171657
Case Number EO-2019130-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRITNYS LIGHT INC
Organization’s Mailing Address 1610 REYNOLDS ROAD LOT 61
City LAKELAND
State FL
ZIP 33801
Accounting period End 12
Primary contact name SELINA WUORI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SELINA WUORI
SECRETARY, DIRECTOR, COMPTROLLER
1610 REYNOLDS ROAD LOT 61
LAKELAND FL 33801

Officer/Director/Trustee Two

BRITNY BELSKIS
PRESIDENT AND DIRECTOR
2276 COLONY CLUB DRIVE
LAKELAND FL 33813

Officer/Director/Trustee Three

TRICIA BLOUIN
TREASURER, DIRECTOR
3428 SUMMERWOOD WAY
LAKELAND FL 33812

Officer/Director/Trustee Four

BELLAMIN GOMEZ
DIRECTOR
4417 HALLAMVIEW LANE
LAKELAND FL 33813

Officer/Director/Trustee Five

SONYA BRAUDWAY
DIRECTOR
215 S GOODMAN AVENUE
LAKE ALFRED FL 33850

Organization’s website N/A
Organization’s email SELINAWUORI@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SELINA WUORI
Signature Title SECRETARY, DIRECTOR, COMPTROLLER
Signature Date 5/8/19

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