FORM 1023-EZ for LLTEN FOUNDATION

Field Data
EIN 83-3849817
Case Number EO-2019142-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LLTEN FOUNDATION
Organization’s Mailing Address 1818 N TAYLOR SUITE B PMB 305
City LITTLE ROCK
State AR
ZIP 72207
Accounting period End 12
Primary contact name TODD DILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD DILLARD
PRESIDENT, TREASURER
1818 N TAYLOR SUITE B PMB 305
LITTLE ROCK AR 72207

Officer/Director/Trustee Two

DAVID MCCLELLAN
VICE PRESIDENT, SECRETARY
1818 N TAYLOR SUITE B PMB 305
LITTLE ROCK AR 72207

Officer/Director/Trustee Three

CHOMCHIT LEELASARI
FIRST VICE PRESIDENT
1818 N TAYLOR SUITE B PMB 305
LITTLE ROCK AR 72207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 TODD DILLARD
Signature Title PRESIDENT, TREASURER
Signature Date 5/20/19

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