FORM 1023-EZ for LIGHTHOUSE TRANSITIONAL SERVICES

Field Data
EIN 84-5176780
Case Number EO-2020090-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTHOUSE TRANSITIONAL SERVICES
Organization’s Mailing Address 1315 DALAUNEY AVE SUITE 204
City COLUMBUS
State GA
ZIP 31901
Accounting period End 12
Primary contact name PATRENA MCELRATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRENA MCELRATH
CEO
31 RIVERSIDE DR
FORT MITCHELL AL 36856

Officer/Director/Trustee Two

ROBERT MCCOY
CFO
31 RIVERSIDE DR
FORT MITCHELL AL 36856

Officer/Director/Trustee Three

DAVID HUGHES
COO
PO BOX 113
MIDLAND GA 31820

Officer/Director/Trustee Four

LAKISA RUSSELL
SECRETARY
2525 NORRIS RD APT 54
COLUMBUS GA 31907

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRENA MCELRATH
Signature Title CEO
Signature Date 3/28/2020

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