FORM 1023-EZ for LIGHTHOUSE OF YPSILANTI

Field Data
EIN 83-2183439
Case Number EO-2019030-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTHOUSE OF YPSILANTI
Organization’s Mailing Address 853 MADISON ST
City YPSILANTI
State MI
ZIP 48197-5213
Accounting period End 12
Primary contact name KEVIN MANIERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN MANIERI
DIRECTOR
853 MADISON ST
YPSILANTI MI 48197-5213

Officer/Director/Trustee Two

EDDIE LEE
BOARD OF DIRECTORS
853 MADISON ST
YPSILANTI MI 48197-5213

Officer/Director/Trustee Three

DAVID ADAMS
BOARD OF DIRECTORS
853 MADISON ST
YPSILANTI MI 48197-5213

Officer/Director/Trustee Four

TOU FUE THAO
BOARD OF DIRECTORS
441 BURTON CT
YPSILANTI MI 48197-5213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/18
Organization Incorporation State MI
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN MANIERI
Signature Title DIRECTOR
Signature Date 12/24/18

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