FORM 1023-EZ for LIGHTHOUSE CITY INTERNATIONAL

Field Data
EIN 81-5314794
Case Number EO-2017060-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTHOUSE CITY INTERNATIONAL
Organization’s Mailing Address 1767 DELAFIELD DRIVE
City WINTER GARDEN
State FL
ZIP 34787
Accounting period End 12
Primary contact name VECHEAMONY KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY BROWN
DIRECTOR
1746 E SILVERSTAR RD STE 354
OCOEE FL 34761

Officer/Director/Trustee Two

VECHEAMONY KING
VICE PRESIDENT
1767 DELAFIELD DRIVE
WINTER GARDEN FL 34787

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
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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