FORM 1023-EZ for A HEROS LIGHT

Field Data
EIN 84-3703895
Case Number EO-2019329-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HEROS LIGHT
Organization’s Mailing Address 180 BONNYWOOD WAY
City SANTA CRUZ
State CA
ZIP 95060-9602
Accounting period End 12
Primary contact name ELIZABETH FUNK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN YEOSOCK
DIRECTOR AND PRESIDENT
180 BONNYWOOD WAY
SANTA CRUZ CA 95060-9602

Officer/Director/Trustee Two

AIMEE GIBSON
DIRECTOR AND VICE PRESIDENT
4401 WOODBINE LANE
PROSPER TX 75078-1189

Officer/Director/Trustee Three

REENA OBRIEN
DIRECTOR AND SECRETARY
131 WATERS EDGE DR
WILLIAMSBURG VA 23188-8913

Officer/Director/Trustee Four

ELIZABETH FUNK
EXECUTIVE DIRECTOR (OFFICER ONLY)
1145 THOMPSON CIRCLE
FORT EUSTIS VA 23604-1407

Officer/Director/Trustee Five

AMANDA BROWN
DIRECTOR OF PROGRAMS (OFFICER ONLY)
6778 24TH ST
FORT HOOD TX 76544-1302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 ELIZABETH FUNK
Signature Title EXECUTIVE DIRECTOR (OFFICER ONLY)
Signature Date 11/21/19

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