FORM 1023-EZ for LUCAS LIGHT FOUNDATION

Field Data
EIN 85-3803190
Case Number EO-2020321-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUCAS LIGHT FOUNDATION
Organization’s Mailing Address 4539 MOUNT OLIVE CHURCH RD
City CHARLOTTE
State NC
ZIP 28278-9612
Accounting period End 12
Primary contact name JASMINE LUNDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE LUNDY
CHAIRMAN OF THE BOARD OF THE FOUNDA
4539 MOUNT OLIVE CHURCH RD
CHARLOTTE NC 28278-9612

Officer/Director/Trustee Two

BRIAN WILLIAMS
PRESIDENT
4539 MOUNT OLIVE CHURCH RD
CHARLOTTE NC 28278-9612

Officer/Director/Trustee Three

NICOLE LUCAS
DIRECTOR
3330 PARK SOUTH STATION BLVD
CHARLOTTE NC 28210-4459

Officer/Director/Trustee Four

KIAMESHA YOUNG
DIRECTOR
8939 GERREN CT
CHARLOTTE NC 28217-3093

Officer/Director/Trustee Five

KERRY BLOOMINGBURG
DIRECTOR
6324 GATESVILLE LANE
CHARLOTTE NC 28270-1115

Organization’s website HTTPS://WWW.BETHELIGHTWITHLUCA.ORG
Organization’s email INFO@BETHELIGHTWITHLUCA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASMINE LUNDY
Signature Title CHAIRMAN OF THE BOARD OF THE FOUNDA
Signature Date 11/12/2020

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