FORM 1023-EZ for EMBASSY OF LIGHT INC

Field Data
EIN 83-3038082
Case Number EO-2019031-000831
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMBASSY OF LIGHT INC
Organization’s Mailing Address 5 MELODY LN
City NISKAYUNA
State NY
ZIP 12309
Accounting period End 12
Primary contact name GARRY DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVONNE KHAMATI
DIRECTOR
5 MELODY LN
NISKAYUNA NY 12309

Officer/Director/Trustee Two

EKWOW SPIO-GARBRAH
DIRECTOR
12004 GORDON AVE
BELTSVILLE NY 20705

Officer/Director/Trustee Three

GARRY DIXON
DIRECTOR
630 MANNING BLVD
ALBANY NY 12210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 GARRY DIXON
Signature Title DIRECTOR
Signature Date 1/7/19

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