FORM 1023-EZ for THE LIGHTHOUSE

Field Data
EIN 81-4543633
Case Number EO-2016337-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LIGHTHOUSE
Organization’s Mailing Address 1810 16TH STREET
City WASHINGTON DC
State DC
ZIP 20009
Accounting period End 12
Primary contact name AZZIZAH MOORE 267 882 3583
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AZZIZAH MOORE
PRESIDENT
1810 16TH ST NW
WASHINGTON DC DC 20009

Officer/Director/Trustee Two

DAHABINA SULAIMAN
DIRECTOR
1810 16TH ST NW
WASHINGTON DC DC 20009

Officer/Director/Trustee Three

KAREEMA BADAWI
SECRETARY
1810 16TH ST NW
WASHINGTON DC DC 20009

Officer/Director/Trustee Four

JANNAH WAJEED
TREASURER
7103 97TH AVE
WASHINGTON DC DC 20009

Organization’s website WWW.LIGHTHOUSEHEALINGCENTERS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2015
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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: Yes
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
Signature Title
Signature Date

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