FORM 1023-EZ for LIGHT OF THE WORLD HEALTH CARE SERVICES INC

Field Data
EIN 47-3169302
Case Number EO-2015120-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHT OF THE WORLD HEALTH CARE SERVICES INC
Organization’s Mailing Address 405 WEST GRESHAM
City INDIANOLA
State MS
ZIP 38751
Accounting period End 12
Primary contact name MRS TERRY HUTCHINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY HUTCHINS
EXECUTIVE DIRECTOR
405 WEST GRESHAM
INDIANOLA MS 38751

Officer/Director/Trustee Two

DERRICK HUTCHINS
ASST EXECUTIVE DIRECTOR
405 WEST GRESHAM
INDIANOLA MS 38751

Officer/Director/Trustee Three

ELLIS JOHNSON
BOARD CHAIRMAN
405 WEST GRESHAM
INDIANOLA MS 38751

Officer/Director/Trustee Four

DAISY JOHNSON
SECRETARY
405 WEST GRESHAM
INDIANOLA MS 38751

Officer/Director/Trustee Five

PERRY HUDSON
BOARD MEMBER
405 WEST GRESHAM
INDIANOLA MS 38751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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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