FORM 1023-EZ for OFFSHORE LIGHT STATION FOUNDATION

Field Data
EIN 45-4718338
Case Number EO-2015064-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OFFSHORE LIGHT STATION FOUNDATION
Organization’s Mailing Address 11917 SHADY OAK CT
City MINT HILL
State NC
ZIP 28227
Accounting period End 12
Primary contact name RICHARD NEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD NEAL
CHAIRMAN
11917 SHADY OAK CT
MINT HILL NC 28227

Officer/Director/Trustee Two

DAVID WOOD
TREASURER
4405 AUSTIN RD
MONROE NC 28112

Officer/Director/Trustee Three

MICHAEL VICKERY
SECRETARY
534 BRICK YARD RD
HAMPSTEAD NC 28443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2012
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U21 - Marine Science and Oceanography
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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
Signature Title
Signature Date

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