FORM 1023-EZ for SHINE BRIGHT LIKE A DIAMOND FOUNDATION

Field Data
EIN 83-3240427
Case Number EO-2019084-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHINE BRIGHT LIKE A DIAMOND FOUNDATION
Organization’s Mailing Address 1480 TRICE CEMETERY ROAD
City THOMASTON
State GA
ZIP 30286
Accounting period End 12
Primary contact name LAKEITHA ROUSSEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANISHA BOWMAN
OFFICER
806 AVALON ROAD
THOMASTON GA 30286

Officer/Director/Trustee Two

DR CHARMILE HARE
OFFICER
957 DONEGAL DRIVE
LOCUST GROVE GA 30248

Officer/Director/Trustee Three

RENEE BRYANT
OFFICER
PO BOX 2441
MCDONOUGH GA 30253

Officer/Director/Trustee Four

QUIN BAKER
OFFICER
253 SWEM COURT
MCDONOUGH GA 30253

Officer/Director/Trustee Five

LAKEITHA ROUSSEAU
DIRECTOR
1480 TRICE CEMETERY ROAD
THOMASTON GA 30286

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAKEITHA ROUSSEAU
Signature Title DIRECTOR
Signature Date 3/22/19

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