FORM 1023-EZ for LAMP LIGHTERS HOCKEY MINISTRY

Field Data
EIN 45-2644859
Case Number EO-2019064-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAMP LIGHTERS HOCKEY MINISTRY
Organization’s Mailing Address 8002 IMPERIAL PLAZA DRIVE
City FORT WAYNE
State IN
ZIP 46835
Accounting period End 12
Primary contact name TYLER MORELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL FIENGO
PRESIDENT
619 BRIARFIELD DRIVE
FORT WAYNE IN 46825

Officer/Director/Trustee Two

JACE BLACKBURN
VICE PRESIDENT
1717 TARTAN COURT
NEW HAVEN IN 46774

Officer/Director/Trustee Three

ASHLEY MORELAND
TREASURER
8002 IMPERIAL PLAZA DR
FORT WAYNE IN 46835

Officer/Director/Trustee Four

NIK KNOBLAUCH
SECRETARY
6815 FORESTWOOD DRIVE
FORT WAYNE IN 46815

Officer/Director/Trustee Five

TYLER MORELAND
DIRECTOR
8002 IMPERIAL PLAZA DRIVE
FORT WAYNE IN 46835

Organization’s website WWW.LAMPLIGHTERSHOCKEY.ORG
Organization’s email LAMPLIGHTERSHOCKEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/11
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
Donation of funds Yes
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 TYLER MORELAND
Signature Title DIRECTOR
Signature Date 3/3/19

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