FORM 1023-EZ for LIGHTHOUSE EMPOWERMENT NETWORK SOLUTIONS INC LENS

Field Data
EIN 46-5687339
Case Number EO-2015134-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTHOUSE EMPOWERMENT NETWORK SOLUTIONS INC LENS
Organization’s Mailing Address 7130 SOUTH GODDARD ROAD
City LITHONIA
State GA
ZIP 30038-4619
Accounting period End 12
Primary contact name PATRICIA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA WILLIAMS
CEO/COO
7130 S GODDARD ROAD
LITHONIA GA 30038-4619

Officer/Director/Trustee Two

JAMES POWERS
BOARD CHAIR
P O BOX 80011
CONYERS GA 30013-9998

Officer/Director/Trustee Three

FRED WILLIAMS
CFO
P O BOX 80011
CONYERS GA 30013-9998

Organization’s website LIGHTHOUSEEMPOWERMENTSOLUTIONS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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