FORM 1023-EZ for DAVID L LAWRENCE JR FOUNDATION

Field Data
EIN 83-1654452
Case Number EO-2018288-000654
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVID L LAWRENCE JR FOUNDATION
Organization’s Mailing Address 439 AVON AVENUE
City TROUTMAN
State NC
ZIP 28166
Accounting period End 12
Primary contact name DAVID LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LAWRENCE JR
EXECUTIVE DIRECTOR
439 AVON AVENUE
CHARLOTTE NC 28166

Officer/Director/Trustee Two

EBONIE DAVIS
DIRECTOR
2805 THOROUGHBRED DRIVE
KILEEN TX 76549

Officer/Director/Trustee Three

ROBBIN SUMMERS
DIRECTOR
392 WINCHESTER ROAD
TROUTMAN NC 28166

Officer/Director/Trustee Four

LATORYA YOUNG
DIRECTOR
7758 WALNUT STREET
SHAW AFB SC 29152

Officer/Director/Trustee Five

WANDA LAWRENCE
DIRECTOR
439 AVON AVENUE
TROUTMAN NC 28166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 DAVID LAWRENCE JR
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/13/18

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