FORM 1023-EZ for DOMINICS LIGHT LLC
| Field | Data |
|---|---|
| EIN | 83-3619408 |
| Case Number | EO-2019137-000215 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOMINICS LIGHT LLC |
| Organization’s Mailing Address | 4888 157TH STREET |
| City | CHIPPEWA FALLS |
| State | WI |
| ZIP | 54729 |
| Accounting period End | 12 |
| Primary contact name | TIMOTHY CURTIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIMOTHY CURTIS
DIRECTOR
4888 157TH STREET
CHIPPEWA FALLS WI 54729
Officer/Director/Trustee Two
SHAWN CURTIS
DIRECTOR
4888 157TH STREET
CHIPPEWA FALLS WI 54729
Officer/Director/Trustee Three
REBECCA CURTIS
DIRECTOR
885 162ND AVENUE
BALSAM LAKE WI 54810
| Organization’s website | |
|---|---|
| Organization’s email | DOMINICSLIGHT@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/18/19 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F80 - Mental Health Association, Multipurpose |
| 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 | Yes |
| 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 | Yes |
| 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 | TIMOTHY CURTIS |
| Signature Title | DIRECTOR |
| Signature Date | 5/15/19 |
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