FORM 1023-EZ for LIGHTHOUSE MINISTRIES

Field Data
EIN 80-0955619
Case Number EO-2015056-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTHOUSE MINISTRIES
Organization’s Mailing Address 4017 SUNFISH DR
City LAPEER
State MI
ZIP 48446
Accounting period End 12
Primary contact name TONY A MOODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONY MOODY
PRESIDENT
4017 SUNFISH DR
LAPEER MI 48446

Officer/Director/Trustee Two

CHAD CRAIG
SECRETARY
PO BOX 292603
KETTERING OH 45429

Officer/Director/Trustee Three

NATHAN DUDLEY
TREASURER
815 S ADAMS
JUNCTION CITY KS 66441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2013
Organization Incorporation State MI
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: Yes
Educational: No
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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