FORM 1023-EZ for APOSTOLIC LIGHTHOUSE CHURCH OF LIVEOAK

Field Data
EIN 81-5398242
Case Number EO-2017139-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APOSTOLIC LIGHTHOUSE CHURCH OF LIVEOAK
Organization’s Mailing Address 6555 NW COUNTY RD 251
City MAYO
State FL
ZIP 32066
Accounting period End 12
Primary contact name DUSTIN BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTIN BELL
PRESIDENT
6555 NW COUNTY ROAD 251
MAYO FL 32066

Officer/Director/Trustee Two

JOHANNA BELL
VICE PRESIDENT/SECRETARY
6555 NW COUNTY ROAD 251
MAYO FL 32066

Officer/Director/Trustee Three

LINDA PLYMEL
SECRETARY
702 NW LAFAYETTE AVE
MAYO FL 32066

Officer/Director/Trustee Four

DREW BELL
OFFICER
702 NW LAFAYETTE AVE
MAYO FL 32066

Officer/Director/Trustee Five

SUZETTE BELL
TRUSTEE
702 NW LAFAYETTE AVE
MAYO FL 32066

Organization’s website ALCLIVEOAK.COM
Organization’s email ALC.LIVEOAK@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2017
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: No
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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