FORM 1023-EZ for TWENTY-FIRST CENTURY UNITED STATESLIGHT HOUSE SERVICE INC

Field Data
EIN 46-3788282
Case Number EO-2016020-000038
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWENTY-FIRST CENTURY UNITED STATESLIGHT HOUSE SERVICE INC
Organization’s Mailing Address 20432 GREENFIELD ROAD
City GERMANTOWN
State MD
ZIP 20876-4031
Accounting period End 12
Primary contact name PAULA SIND PRUNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULA SIND PRUNIER
CHAIRMAN EXECUTIVE DIRECTOR
20432 GREENFIELD ROAD
GERMANTOWN MD 20876-4031

Officer/Director/Trustee Two

GREGORY J PRUNIER
SECRETARY TREASURER
20432 GREENFIELD ROAD
GERMANTOWN MD 20876-4031

Officer/Director/Trustee Three

PHILIP A BAKER
BOARD MEMBER
18923 PINE RIDGE LANE
GERMANTOWN MD 20874-1825

Organization’s website
Organization’s email BOARD@21USLHS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2013
Organization Incorporation State MD
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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