FORM 1023-EZ for LIGHTSPEED FITNESS FOUNDATION INC

Field Data
EIN 47-3748354
Case Number EO-2015126-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIGHTSPEED FITNESS FOUNDATION INC
Organization’s Mailing Address 118-21 QUEENS BLVD SUITE 418
City FOREST HILL
State NY
ZIP 11375
Accounting period End 12
Primary contact name SHARON YANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILIP CARPENTER LEE
PRESIDENT
1220 SHAKESPEARE AVENUE STE 2CN
BRONX NY 10452

Officer/Director/Trustee Two

VICTOR BLYTHE
TREASURER
1776 SYCAMORE STREET
NW WASHINGTON DC 20012

Officer/Director/Trustee Three

DENISE ROYAL
SECRETARY
8961 ELLENBROOK STREET
LAS VEGAS NV 89148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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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