FORM 1023-EZ for PINEHILL LIGHTHOUSE RESIDENCE
| Field | Data |
|---|---|
| EIN | 83-2765978 |
| Case Number | EO-2019037-000544 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PINEHILL LIGHTHOUSE RESIDENCE |
| Organization’s Mailing Address | 2950 LEWIS FRASIER ROAD |
| City | MIDWAY |
| State | GA |
| ZIP | 31320 |
| Accounting period End | 12 |
| Primary contact name | ALICE BARNES HAWKES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALICE BARNES HAWKES
PRESIDENT
2950 LEWIS FRASIER ROAD
MIDWAY GA 31320
Officer/Director/Trustee Two
RICHARD BARNES
TREASURER
945 GREENBRIAR LANE
SPRINGFIELD PA 19064
Officer/Director/Trustee Three
RICKY BAKER
BOARD MEMBER
5 ESCAPADE LANE
SAVANNAH GA 31405
Officer/Director/Trustee Four
VALERIE BAKER
SECRETARY
5 ESCAPADE LANE
SAVANNAH GA 31405
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/10/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | 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 | ALICE BARNES HAWKES |
| Signature Title | PRESIDENT |
| Signature Date | 1/29/19 |
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