FORM 1023-EZ for ATLANTA LIGHTHOUSE FOUNDATION
| Field | Data |
|---|---|
| EIN | 86-1740414 |
| Case Number | EO-2021209-000213 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ATLANTA LIGHTHOUSE FOUNDATION |
| Organization’s Mailing Address | 1380 BOULEVARD SE |
| City | ATLANTA |
| State | GA |
| ZIP | 30315 |
| Accounting period End | 12 |
| Primary contact name | LLOYD TIMOTHY MCKIBBINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LLOYD MCKIBBINS
PRESIDENT
478 HARPER ROAD
MCDONOUGH GA 30252
Officer/Director/Trustee Two
SALENA PERRY
VICE PRESIDENT
586 CAVITO DRIVE SW
ATLANTA GA 30311
Officer/Director/Trustee Three
OCTAVIA REYNOLDS
TREASURER
6277 THORNHEDGE DRIVE
RIVERDALE GA 30296
Officer/Director/Trustee Four
EVELYN HARRIS
SECRETARY
6294 WINDY RIDGE WAY
LITHONIA GA 30058
Officer/Director/Trustee Five
SHERRY LUSTERJR
COMMUNICATIONS DIRECTOR
81 SANDPIPER LANE
RIVERDALE GA 30274
| Organization’s website | WWW.ATLANTALIGHTHOUSE.ORG |
|---|---|
| Organization’s email | INFO@ATLANTALIGHTHOUSEFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/21/2021 |
| Organization Incorporation State | GA |
| 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: Yes 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 | LLOYD MCKIBBINS |
| Signature Title | PRESIDENT |
| Signature Date | 7/26/2021 |
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