FORM 1023-EZ for LIGHTHOUSE CENTER

Field Data
EIN 83-2097134
Case Number EO-2018334-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTHOUSE CENTER
Organization’s Mailing Address 623 GRAND AVE/ PO BOX 812
City LEAKESVILLE
State MS
ZIP 39451-812
Accounting period End 12
Primary contact name JUANITA A HOLLINGHEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUANITA HOLLINGHEAD
PRESIDENT/DIRECTOR
44 HOLLINGHEAD LANE
STATE LINE MS 39362

Officer/Director/Trustee Two

STACY WILSON
SECRETARY
PO BOX 804
LEAKESVILLE MS 39451

Officer/Director/Trustee Three

CYNTHIA TURNER
TREASURER
2524 TURNER ROAD
LEAKESVILLE MS 39451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 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 JUANITA HOLLINGHEAD
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/28/18

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