FORM 1023-EZ for SHINE BRIGHT VISION SERVICE CORP

Field Data
EIN 85-2289615
Case Number EO-2020314-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHINE BRIGHT VISION SERVICE CORP
Organization’s Mailing Address 227 DUE WEST DRIVE
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 12
Primary contact name JACQUELYN ARNOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELYN ARNOLD
CEO
227 DUE WEST DRIVE
STOCKBRIDGE GA 30281

Officer/Director/Trustee Two

DEMETRIA WINTERS
DIRECTOR
89 WOBURN STREET
JONESBORO GA 30238

Officer/Director/Trustee Three

CRYSTAL ROBERTS
TRUSTEE
602 CAMANO WAY
MCDONOUGH GA 30253

Organization’s website
Organization’s email Jacquelyn.ceo@sbvsnp.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 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 JACQUELYN ARNOLD
Signature Title CEO
Signature Date 11/5/2020

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