FORM 1023-EZ for LIGHTHOUSE OF HOPE FAMILY SHELTER

Field Data
EIN 83-4088584
Case Number EO-2020070-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTHOUSE OF HOPE FAMILY SHELTER
Organization’s Mailing Address P O BOX 64948
City GARY
State IN
ZIP 46401
Accounting period End 2
Primary contact name VERONICA COLLIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA REYNOLDS
TREASURER
2217 NORMANDY DRIVE
MICHIGAN CITY IN 46360

Officer/Director/Trustee Two

VERONICA COLLIER
DIRECTOR
1706 GOLDFINCH LANE
MICHIGAN CITY IN 46360

Officer/Director/Trustee Three

JAPHIA PATTON
SECRETARY
4427 MONROE STREET
GARY IN 46408

Officer/Director/Trustee Four

ANTOINETTE EDMONDS
ADVISER OFFICER
2065 HALF DAY RD APT 683
BANNOCKBURN IL 60015

Organization’s website LIGHTHOUSEOFHOPEFAMILYSHELTER.ORG
Organization’s email LIGHTHOUSEOFHOPEFAMILY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 VERONICA COLLIER
Signature Title DIRECTOR
Signature Date 3/5/2020

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