FORM 1023-EZ for LIGHTHOUSE RESIDENCES NFP

Field Data
EIN 83-3666907
Case Number EO-2019071-000597
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTHOUSE RESIDENCES NFP
Organization’s Mailing Address 1644 BEVERLY PL
City HIGHLAND PARK
State IL
ZIP 60035
Accounting period End 12
Primary contact name CHRIS BRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA RIVAS OSIO
CHAIRWOMAN/TREASURER
1644 BEVERLY PL
HIGHLAND PARK IL 60035

Officer/Director/Trustee Two

ERIC JOHNSON
VICE-CHAIRMAN
1644 BEVERLY PL
HIGHLAND PARK IL 60035

Officer/Director/Trustee Three

BYRON PADILLA
SECRETARY
1644 BEVERLY PL
HIGHLAND PARK IL 60035

Officer/Director/Trustee Four

ANTHONY HALE
BOARD MEMBER
1644 BEVERLY PL
HIGHLAND PARK IL 60035

Officer/Director/Trustee Five

CHRIS BRAND
EXECUTIVE DIRECTOR
1644 BEVERLY PL
HIGHLAND PARK IL 60035

Organization’s website WWW.LIGHTHOUSERESIDENCESNFP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 CHRIS BRAND
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/7/19

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