FORM 1023-EZ for JC SHINES INC

Field Data
EIN 85-1410855
Case Number EO-2020216-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JC SHINES INC
Organization’s Mailing Address 62 WALTON ST
City BRENTWOOD
State NY
ZIP 11717
Accounting period End 12
Primary contact name EILEEN NICKIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EILEEN NICKIE
PRESIDENT
62 WALTON ST
BRENTWOOD NY 11717

Officer/Director/Trustee Two

PETERSON NICKIE
DIRECTOR
62 WALTON ST
BRENTWOOD NY 11717

Officer/Director/Trustee Three

THERESA WALDRON
SECRETARY
323 OLD INDIAN HEAD RD
KINGS PARK NY 11754

Officer/Director/Trustee Four

ADINA HILL
TREASURER
62 WALTON ST
BRENTWOOD NY 11717

Organization’s website HTTP://WWW.JCSHINEES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
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 Yes
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 EILEEN NICKIE
Signature Title PRESIDENT
Signature Date 7/30/2020

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