FORM 1023-EZ for BRIGHT LIGHTS CHARITABLE ORGANIZATION

Field Data
EIN 47-3392098
Case Number EO-2016090-000425
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRIGHT LIGHTS CHARITABLE ORGANIZATION
Organization’s Mailing Address 12988 CARMEL CREEK ROAD UNIT 175
City SAN DIEGO
State CA
ZIP 92130
Accounting period End 12
Primary contact name IMELDA RODA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IMELDA RODA
FOUNDER CHIEF OPERATION OFFICER
12988 CARMEL CREEK ROAD UNIT 175
SAN DIEGO CA 92130

Officer/Director/Trustee Two

JESSELLE BUNTAN
CHIEF FINANCIAL OFFICER
PO BOX 2669
LA JOLLA CA 92038

Officer/Director/Trustee Three

RAYMOND BORJA
DIRECTOR
247 ROCKHILL ROAD
VISTA CA 92084

Officer/Director/Trustee Four

ALFRED BAJET
SECRETARY
9318 TWIN MOUNTAIN CIRCLE
SAN DIEGO CA 92126

Organization’s website WWW.BRIGHTLIGHTSACADEMY.ORG
Organization’s email IMELDA.RODA@BRIGHTLIGHTSACADEMY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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