FORM 1023-EZ for LILLIPUTIAN SURGICAL SOCIETY

Field Data
EIN 47-4698234
Case Number EO-2015223-000007
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LILLIPUTIAN SURGICAL SOCIETY
Organization’s Mailing Address PO BOX 10
City CRESTWOOD
State KY
ZIP 40014
Accounting period End 12
Primary contact name NATHAN LINDEMEYER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL VONALLMEN
PRESIDENT
3333 BURNETT AVE
CINCINNATI OH 45229

Officer/Director/Trustee Two

WALTER MORGAN
OFFICER
2201 WEST END AVE
NASHVILLE TN 37235

Officer/Director/Trustee Three

BRAD WARNER
VICE-PRESIDENT
1 CHILDRENS PLACE
ST LOUIS MO 63110

Officer/Director/Trustee Four

NATHAN LINDEMEYER
TREASURER
PO BOX 10
CRESTWOOD KY 40014

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1959
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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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