FORM 1023-EZ for LIGHTFOOT-WALKER CLINIC INC

Field Data
EIN 86-1685819
Case Number EO-2021085-000702
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTFOOT-WALKER CLINIC INC
Organization’s Mailing Address 1810 E CARY ST 4244
City RICHMOND
State VA
ZIP 23223
Accounting period End 12
Primary contact name INDIA LIGHTFOOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INDIA LIGHTFOOT
PRESIDENT
1810 E CARY ST 4224
RICHMOND VA 23223

Officer/Director/Trustee Two

ADRIANA THOMPSON
TREASURER
1605 HICKORY ST
RICHMOND VA 23222

Officer/Director/Trustee Three

ALANDRA COPELAND
SECRETARY
122 BIRDIE DR
SUFFOLK VA 23434

Officer/Director/Trustee Four

DARYL WASHINGTON
VICE PRESIDENT
4408 SAMARA DRIVE
HENRICO VA 23231

Officer/Director/Trustee Five

NICOLE LIGHTFOOT
REGISTERED AGENT
4438 KINGS BISHOP RD
HENRICO VA 23231

Organization’s website
Organization’s email LWCLINIC0@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 INDIA LIGHTFOOT
Signature Title PRESIDENT
Signature Date 2/4/2021

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