FORM 1023-EZ for TH LIGHTHOUSE COMMUNITY DEVELOPMENTCORPORATION

Field Data
EIN 84-3838904
Case Number EO-2020238-000030
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TH LIGHTHOUSE COMMUNITY DEVELOPMENTCORPORATION
Organization’s Mailing Address 150 FAIRFIELD AVENUE
City STAMFORD
State CT
ZIP 06902
Accounting period End 1
Primary contact name REV ROBERT A JACKSON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT JACKSON
EXECUTIVE DIRECTOR
150 FAIRFIELD AVENUE
STAMFORD CT 06902

Officer/Director/Trustee Two

THOMASA HOLLEY
CHIEF FINANCIAL OFFICER
150 FAIRFIELD AVENUE
STAMFORD CT 06902

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2019
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT JACKSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/23/2020

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