FORM 1023-EZ for LAVI-LIGHT EVOLUTION

Field Data
EIN 84-3106108
Case Number EO-2019266-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAVI-LIGHT EVOLUTION
Organization’s Mailing Address PO
City STAMFORD
State CT
ZIP 6911
Accounting period End 9
Primary contact name OTHNIEL DAFINICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OTHNIEL DAFINICE
PRESIDENT
95 DENVER AVE
BRIDGEPORT CT 6605

Officer/Director/Trustee Two

PROPHETE REVANGIL
VICE-PRESIDENT
46 GRANT AVE
STAMFORD CT 6902

Officer/Director/Trustee Three

ANNASTASIA AUGUSTIN
SECRETARY
16 VAN NESS ST
NORWALK CT 6850

Officer/Director/Trustee Four

BETHANIE DERISME
TREASURER
1739 NICHOLS AVE
STRATFORD CT 6614

Officer/Director/Trustee Five

ARTHUR H LAUTURE
COUNSELOR
170 FAIRFIELD AVE
STAMFORD CT 6902

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 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 OTHNIEL DAFINICE
Signature Title PRESIDENT
Signature Date 9/21/19

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