FORM 1023-EZ for SHINE A LIGHT ON DOMESTIC VIOLENCEMINISTRY INC

Field Data
EIN 86-2324235
Case Number EO-2021109-000536
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHINE A LIGHT ON DOMESTIC VIOLENCEMINISTRY INC
Organization’s Mailing Address 18325 GULF UNIT APT 304
City REDINGTON SHORES
State FL
ZIP 33708
Accounting period End 12
Primary contact name ANITA MARIE MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANITA MACK
COO
18325 GULF BLVD UNIT 304
REDINGTON SHORES FL 33708

Officer/Director/Trustee Two

JESSICA MOSER
CEO
13799 PARK BLVD UNIT 232
SEMINOLE FL 33776

Officer/Director/Trustee Three

SCOTT MACK
CFO
18325 GULF BLVD UNIT 304
REDINGTON SHORES FL 33708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 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 ANITA MACK
Signature Title COO
Signature Date 4/16/2021

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