FORM 1023-EZ for LIGHTHOUSE ON THE HILL

Field Data
EIN 27-5089929
Case Number EO-2016277-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTHOUSE ON THE HILL
Organization’s Mailing Address 5122 KODIAK COURT
City CHARLOTTE
State NC
ZIP 28215-8734
Accounting period End 12
Primary contact name DELTON W COOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELTON COOPER
FOUNDER
5122 KODIAK COURT
CHARLOTTE NC 28215

Officer/Director/Trustee Two

DELTON COOPER
FOUNDER
5122 KODIAK COURT
CHARLOTTE NC 28215

Officer/Director/Trustee Three

DELTON COOPER
FOUNDER
5122 KODIAK COURT
CHARLOTTE NC 28215

Officer/Director/Trustee Four

DELTON COOPER
FOUNDER
5122 KODIAK COURT
CHARLOTTE NC 28215

Officer/Director/Trustee Five

DELTON COOPER
FOUNDER
5122 KODIAK COURT
CHARLOTTE NC 28215

Organization’s website
Organization’s email COOPER_DELTON@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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