FORM 1023-EZ for SHINE A LIGHT FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-1777495 |
| Case Number | EO-2021154-000087 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHINE A LIGHT FOUNDATION |
| Organization’s Mailing Address | 3203 MEDICINE MAN WAY |
| City | LAS VEGAS |
| State | NV |
| ZIP | 89169 |
| Accounting period End | 12 |
| Primary contact name | PAUL VAUTRINOT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAUL VAUTRINOT
CHAIRMAN OF THE BOARD
3203 MEDICINE MAN WAY
LAS VEGAS NV 89169
Officer/Director/Trustee Two
JEFFREY IVERSON
TREASURER
7712 NATURES SONG
LAS VEGAS NV 89131
Officer/Director/Trustee Three
ROBERT BANGHART
BOARD MEMBER
671 EAST NAPLES DRIVE APT 12
LAS VEGAS NV 89119
Officer/Director/Trustee Four
JESSE MCCULLOCH
SECRETARY
5343 TAMARUS DR
LAS VEGAS NV 89119
| Organization’s website | |
|---|---|
| Organization’s email | PAUL@SHINEALIGHTLV.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/6/2020 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | PAUL VAUTRINOT |
| Signature Title | CHAIRMAN OF THE BOARD |
| Signature Date | 5/31/2021 |
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