FORM 1023-EZ for LUMEN CHARITY INC

Field Data
EIN 82-4035813
Case Number EO-2018030-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUMEN CHARITY INC
Organization’s Mailing Address 10607 E OLLA AVE
City MESA
State AZ
ZIP 85212
Accounting period End 12
Primary contact name FIDELIS IGWENWANNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FIDELIS IGWENWANNE
PRESIDENT, DIRECTOR
10607 E OLLA AVE
MESA AZ 85212

Officer/Director/Trustee Two

AMANDA MISSILDINE
SECRETARY, DIRECTOR
2246 S BASMATH LN
GILBERT AZ 85295

Officer/Director/Trustee Three

DOROTA DIETZ
TREASURER, DIRECTOR
1505 E BAUTISTA RD
GILBERT AZ 85297

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
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 FIDELIS IGWENWANNE
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/28/18

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