FORM 1023-EZ for LIGHTHOUSE FELLOWSHIP CDC

Field Data
EIN 83-2653755
Case Number EO-2019073-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTHOUSE FELLOWSHIP CDC
Organization’s Mailing Address 939 CRICKET AVE
City GLENSIDE
State PA
ZIP 19038
Accounting period End 12
Primary contact name KEVIN ELLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE MATTHEWS
DIRECTOR
939 CRICKET AVE
GLENSIDE PA 19038

Officer/Director/Trustee Two

KAREN BARNES
TRUSTEE
619 ALCOTT ST
PHILA PA 19120

Officer/Director/Trustee Three

LEROY HARDY
TRUSTEE
169 KIPLING DR
WARMINSTER PA 18974

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 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 LAWRENCE MATTHEWS
Signature Title DIRECTOR
Signature Date 3/12/19

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