FORM 1023-EZ for STACY LYONS MEMORIAL FUND

Field Data
EIN 82-2061688
Case Number EO-2017242-000536
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STACY LYONS MEMORIAL FUND
Organization’s Mailing Address 130 BLACKBEAR DRIVE APT1323
City WALTHAM
State MA
ZIP 02451
Accounting period End 12
Primary contact name SHAWN LYONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN LYONS
PRESIDENT
130 BLACKBEAR DRIVE APT 1323
WALTHAM MA 02451

Officer/Director/Trustee Two

ELIZABETH RUGGERI
VICE PRESIDENT
130 BLACKBEAR DRIVE APT 1323
WALTHAM MA 02451

Organization’s website
Organization’s email STACYLYONSMEMORIAL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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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