FORM 1023-EZ for LEXINGTON LUNCH CLUB FOUNDATION

Field Data
EIN 81-4203363
Case Number EO-2017086-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEXINGTON LUNCH CLUB FOUNDATION
Organization’s Mailing Address PO BOX 48
City LEXINGTON
State VA
ZIP 24450
Accounting period End 6
Primary contact name JAMES COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

R JAMES COOK
PRESIDENT
66 BRECKINRIDGE CT
LEXINGTON VA 24450

Officer/Director/Trustee Two

NICHOLAS MARTINO
TREASURER
85 OLD WHITE HILL RD
STAUNTON VA 24401

Officer/Director/Trustee Three

JERRY BOGACZ
VICE PRESIDENT
850 BORDEN RD
LEXINGTON VA 24450

Officer/Director/Trustee Four

SUZANNE SHERIDAN
SECRETARY
539 E NELSON ST
LEXINGTON VA 24450

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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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