FORM 1023-EZ for SHINE CITY INC

Field Data
EIN 82-2347214
Case Number EO-2018250-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHINE CITY INC
Organization’s Mailing Address 10956 PENDRAGON PL
City RALEIGH
State NC
ZIP 27614
Accounting period End 12
Primary contact name NICHELLE HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHELLE HAYES
PRESIDENT
10956 PENDRAGON PL
RALEIGH NC 27614

Officer/Director/Trustee Two

IRMA WILTSHIRE-HAYES
SECRETARY
1796 STEEL BRIDGE RD
SANFORD NC 27330

Officer/Director/Trustee Three

DEONTE HODGES
CHAIRMAN
7328 CIRCLEBANK DRIVE
RALEIGH NC 27615

Officer/Director/Trustee Four

JEAN WINTERS
TREASURER
902 WESSTONE CIRCLE
APEX NC 27502

Officer/Director/Trustee Five

ANTHONY STEPHENS
BOARD MEMBER
5451 WOODLAND BLVD
OXON HILL MD 20745

Organization’s website WWW.SHINECITYINC.ORG
Organization’s email INFO@SHINECITYINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 NICHELLE HAYES
Signature Title PRESIDENT
Signature Date 9/5/18

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