FORM 1023-EZ for MITCHELLS LIGHT

Field Data
EIN 82-4243299
Case Number EO-2018051-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MITCHELLS LIGHT
Organization’s Mailing Address 124 HAWKINS LANE
City ANDERSON
State SC
ZIP 29621-5412
Accounting period End 12
Primary contact name KELLY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY JOHNSON
DIRECTOR
124 HAWKINS LANE
ANDERSON SC 29621-5412

Officer/Director/Trustee Two

JENNIFER PIERCE
DIRECTOR
57 DEER CREEK TRAIL
ANDERSON SC 29621-1068

Officer/Director/Trustee Three

JERRY JOHNSON
CO-DIRECTOR
124 HAWKINS LANE
ANDERSON SC 29621-5412

Officer/Director/Trustee Four

PHILLIP PIERCE
CO-DIRECTOR
57 DEER CREEK TRAIL
ANDERSON SC 29621-1068

Organization’s website WWW.MITCHELLSLIGHT.ORG
Organization’s email INFO@MITCHELLSLIGHT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/17
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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 KELLY JOHNSON
Signature Title DIRECTOR
Signature Date 2/15/18

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