FORM 1023-EZ for LUNGSMARTER FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-5415137 |
| Case Number | EO-2018130-000279 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LUNGSMARTER FOUNDATION |
| Organization’s Mailing Address | 5310 GODFREY ROAD SUITE 35 |
| City | GODFREY |
| State | IL |
| ZIP | 62035 |
| Accounting period End | 9 |
| Primary contact name | JOSIE M METZLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JARIS WAIDE
PRESIDENT/TREASURER
5310 GODFREY ROAD SUITE 35
GODFREY IL 62035
Officer/Director/Trustee Two
SHIRLEY WAIDE
VICE PRESIDENT
5310 GODFREY ROAD SUITE 35
GODFREY IL 62035
Officer/Director/Trustee Three
DANA BURRIS
SECRETARY
101 E EDWARDSVILLE ROAD
WOOD RIVER IL 62095
Officer/Director/Trustee Four
ERIK KAMBARIAN
DIRECTOR
6011 GODFREY ROAD
GODFREY IL 62035
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/20/18 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G45 - Lung Disease |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | JARIS WAIDE |
| Signature Title | PRESIDENT/TREASURER |
| Signature Date | 5/7/18 |
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