FORM 1023-EZ for LIGHTHOUSE IMMIGRATION LEGAL SERVICES INC

Field Data
EIN 46-1650622
Case Number EO-2014363-000032
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTHOUSE IMMIGRATION LEGAL SERVICES INC
Organization’s Mailing Address 4804 BERCKMAN ROAD
City NORTH CHARLESTON
State SC
ZIP 29405-4637
Accounting period End 12
Primary contact name DANA FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA FIELDS
CHAIRMAN/MANAGING ATTORNEY
4804 BERCKMAN ROAD
NORTH CHARLESTON SC 29405-4637

Officer/Director/Trustee Two

EMILY GUERRERO
VICE CHAIRMAN
4804 BERCKMAN ROAD
NORTH CHARLESTON SC 29405-4637

Officer/Director/Trustee Three

STEPHANIE NODINE
SECRETARY
4804 BERCKMAN ROAD
NORTH CHARLESTON SC 29405-4637

Officer/Director/Trustee Four

ANA TEIXEIRA
TREASURER/FINANCE
4804 BERCKMAN ROAD
NORTH CHARLESTON SC 29405-4637

Officer/Director/Trustee Five

PEDRO DEARMAS
SGT. AT ARMS/BUSINESS
4804 BERCKMAN ROAD
NORTH CHARLESTON SC 29405-4637

Organization’s website WWW.SCLILS.ORG
Organization’s email DANA@SCLILS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2013
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal Services
Organization’s purpose Charitable: Yes
Religious: No
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 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 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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