FORM 1023-EZ for A LIGHT IN A DARK PLACE INC

Field Data
EIN 84-3786907
Case Number EO-2019331-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A LIGHT IN A DARK PLACE INC
Organization’s Mailing Address 830 CENTRAL AVE
City MATTESON
State IL
ZIP 60443
Accounting period End 12
Primary contact name ERIN MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN MITCHELL
PRESIDENT
830 CENTRAL AVE
MATTESON IL 60443

Officer/Director/Trustee Two

MAPLE TEMPLE
SECRETARY
9001 S CORNELL AVE
CHICAGO IL 60617

Officer/Director/Trustee Three

KENDALL MERRITT
TREASURER
830 CENTRAL AVE
MATTESON IL 60443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ERIN MITCHELL
Signature Title PRESIDENT
Signature Date 11/25/19

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