FORM 1023-EZ for LIGHTING BOY FOUNDATION INC

Field Data
EIN 82-0714271
Case Number EO-2017068-000504
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTING BOY FOUNDATION INC
Organization’s Mailing Address 31 TURTLE CIRCLE
City SANTA FE
State NM
ZIP 87506
Accounting period End 12
Primary contact name JOSEPH KARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FELICIA ROSACKER-RIVERA
PRESIDENT
31 TURTLE CIRCLE
SANTA FE NM 87506

Officer/Director/Trustee Two

PO QUEEN RIVERA
SECRETARY
31 TURTLE CIRCLE
SANTA FE NM 87506

Officer/Director/Trustee Three

STEVE LARANCE
TREASURER
141 SUNSET DRIVE
OHKAY OWINGEH NM 87566

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2017
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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