FORM 1023-EZ for THE LIGHTHOUSE INITIATIVE

Field Data
EIN 86-1893620
Case Number EO-2021123-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LIGHTHOUSE INITIATIVE
Organization’s Mailing Address 11702 ALDERIDGE LANE
City SAN DIEGO
State CA
ZIP 92131
Accounting period End 8
Primary contact name BRENNAN LIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENNAN LIM
CEO
11702 ALDERIDGE LANE
SAN DIEGO CA 92131

Officer/Director/Trustee Two

BRAYDEN LOU
COO
10247 SIENNA HILLS DRIVE
SAN DIEGO CA 92127

Officer/Director/Trustee Three

AUDREY AN
CFO
11356 TRILLIUM WAY
SAN DIEGO CA 92131

Organization’s website THELIGHTHOUSEINITIATIVE2020.ORG
Organization’s email LIGHTHOUSE.INITIATIVEORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
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 Yes
Financial transactions with officers Yes
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 BRENNAN LIM
Signature Title CEO
Signature Date 4/29/2021

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