FORM 1023-EZ for LIGHTBULB ORGANIZATION

Field Data
EIN 47-5682284
Case Number EO-2016062-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTBULB ORGANIZATION
Organization’s Mailing Address 2811 TIPTON STREET
City SOUTH CHESTERFIELD
State VA
ZIP 23834
Accounting period End 12
Primary contact name SHERRIE BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY MIJARES
EXECUTIVE DIRECTOR
2811 TIPTON STREET
S. CHESTERFIELD VA 23834

Officer/Director/Trustee Two

SHIRLEY RICHARDSON
DIRECTOR
2625 GENEVA DRIVE
RICHMOND VA 23224

Officer/Director/Trustee Three

IRVIN JENNINGS JR
DIRECTOR
1521 CARTER ROAD
RICHMOND VA 23220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q02 - Management & Technical Assistance
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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