FORM 1023-EZ for LIGHTS OUT PERFORMANCE INC

Field Data
EIN 85-3008532
Case Number EO-2020262-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHTS OUT PERFORMANCE INC
Organization’s Mailing Address 330 DUMONT AVE
City BROOKLYN
State NY
ZIP 11212
Accounting period End 12
Primary contact name WAYNE MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE MORGAN
PRES
330 DUMONT AVE
BROOKLYN NY 11212

Officer/Director/Trustee Two

ERVIN ROBERSON
OFFICER
175-16 109TH AVE
JAMAICA NY 11433

Officer/Director/Trustee Three

SHARON ELLIS
OFFICER
330 DUMONT AVE
BROOKLYN NY 11212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 WAYNE MORGAN
Signature Title PRES
Signature Date 9/16/2020

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