FORM 1023-EZ for A LIGHT IN DARK PLACES

Field Data
EIN 82-4209591
Case Number EO-2018054-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A LIGHT IN DARK PLACES
Organization’s Mailing Address 4241 W KLING ST APT 11
City BURBANK
State CA
ZIP 91505
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALIM ALIAGA
DIRECTOR
5317 CAHUENGA BLVD UNIT B
NORTH HOLLYWOOD CA 91601

Officer/Director/Trustee Two

JALYSSA ELIASEN
DIRECTOR
138 N BELMONT ST APT 1
GLENDALE CA 91206

Officer/Director/Trustee Three

BRUCE KATZMAN
DIRECTOR
5851 WILKINSON AVE
VALLEY VILLAGE CA 91607

Officer/Director/Trustee Four

KELLY OMALLEY
DIRECTOR
4241 W KLING ST APT 11
BURBANK CA 91505

Officer/Director/Trustee Five

BLAKE LEWIS
DIRECTOR
20 STARR ST 3
BROOKLYN NC 11221

Organization’s website WWW.ALIGHTINDARKPLACES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 KELLY OMALLEY
Signature Title DIRECTOR
Signature Date 2/21/18

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