FORM 1023-EZ for JEREMIAHS LANTERN

Field Data
EIN 84-5081103
Case Number EO-2021100-001158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEREMIAHS LANTERN
Organization’s Mailing Address 1745 SW SHAW AVE STE103
City FRESNO
State CA
ZIP 93711
Accounting period End 3
Primary contact name MARTIN D ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN ROSE
CEO
2712 E YOSEMITE AVE
MERCED CA 95340

Officer/Director/Trustee Two

STEVEN MORSE
MEMBER AT LARGE
700 VAN NESS AVE
FRESNO CA 93721

Officer/Director/Trustee Three

JOSEPH MCBRIDE
TREASURER AND SECRETARY
1101 S ST
NEWMAN CA 95360

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: No
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 MARTIN ROSE
Signature Title CEO
Signature Date 3/30/2021

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