FORM 1023-EZ for CHOOSE TO SHINE

Field Data
EIN 83-2272168
Case Number EO-2018305-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOOSE TO SHINE
Organization’s Mailing Address 1503 DOVER RD
City BLOOMINGTON
State IL
ZIP 61704
Accounting period End 12
Primary contact name MICHELLE NEWBOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE NEWBOLD
TREASURER/DIRECTOR
1503 DOVER RD
BLOOMINGTON IL 61704

Officer/Director/Trustee Two

KIM ADELMAN
PRESIDENT/SECRETARY/DIRECTOR
12 GRAYSTONE CT
BLOOMINGTON IL 61704

Officer/Director/Trustee Three

VICKI VARNEY
DIRECTOR
3105 RUSTY LN
BLOOMINGTON IL 61704

Officer/Director/Trustee Four

APRIL BAUCHMOYER
DIRECTOR
14 LAVENDER LN
BLOOMINGTON IL 61704

Officer/Director/Trustee Five

STACIA TERRY
DIRECTOR
4 KETCHUM CT
BLOOMINGTON IL 61704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 MICHELLE NEWBOLD
Signature Title TREASURER/DIRECTOR
Signature Date 10/30/18

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