FORM 1023-EZ for DAUGHTERSHINE INC

Field Data
EIN 84-3787390
Case Number EO-2020226-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAUGHTERSHINE INC
Organization’s Mailing Address 7420 MAYAPPLE RD
City JACKSONVILLE
State FL
ZIP 32211
Accounting period End 12
Primary contact name CAMI CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMI CALDWELL
PRESIDENT
7420 MAYAPPLE RD
JACKSONVILLE FL 32211

Officer/Director/Trustee Two

SANDRA BATEMAN
SECRETARY
11990 BEACH BLVD APT 301
JACKSONVILLE FL 32246

Officer/Director/Trustee Three

DEBRA ELDRIDGE
TREASURER
6724 BRANDEMERE RD S
JACKSONVILLE FL 32211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 CAMI CALDWELL
Signature Title PRESIDENT
Signature Date 8/11/2020

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