FORM 1023-EZ for JUSTINS LIGHTHOUSE FOUNDATION

Field Data
EIN 83-1238178
Case Number EO-2018199-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTINS LIGHTHOUSE FOUNDATION
Organization’s Mailing Address 2020 NORTH COUNCIL RD
City OKC
State OK
ZIP 73127
Accounting period End 10
Primary contact name MILES K LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MILES LEWIS
ASSISTANT DIRECTOR
2020 N COUNCIL RD
OKC OK 73127-1142

Officer/Director/Trustee Two

MARIA MARCOTTE
EXECUTIVE DIRECTOR
2020 N COUNCIL RD
OKC OK 73127-1142

Officer/Director/Trustee Three

AUNAMARIE LEWIS
PROJECT MANAGER
2020 N COUNCIL RD
OKC OK 73127-1142

Organization’s website
Organization’s email JLFOUNDATION2020@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 MILES LEWIS
Signature Title ASSISTANT DIRECTOR
Signature Date 7/16/18

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