FORM 1023-EZ for LYDIAS HOUSE SPIRITUAL FELLOWSHIP INC

Field Data
EIN 61-1424735
Case Number EO-2019319-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYDIAS HOUSE SPIRITUAL FELLOWSHIP INC
Organization’s Mailing Address 2709 KING DR
City TIFTON
State GA
ZIP 31794-5745
Accounting period End 12
Primary contact name BRENDA SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA SIMMONS
PRESIDENT
2709 KING DR
TIFTON GA 31794-5745

Officer/Director/Trustee Two

ANNIE RUTH DANKINS
VICE PRESIDENT
2709 KING DR
TIFTON GA 31794-5745

Officer/Director/Trustee Three

GAIL GLOVER
SECRETARY
2709 KING DR
TIFTON GA 31794-5745

Officer/Director/Trustee Four

KEITH ANDERSON
TREASURER
2709 KING DR
TIFTON GA 31794-5745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 BRENDA SIMMONS
Signature Title PRESIDENT
Signature Date 11/13/19

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