FORM 1023-EZ for FOUNDATION LOIS LA GRANGE

Field Data
EIN 86-3583320
Case Number EO-2021200-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION LOIS LA GRANGE
Organization’s Mailing Address 413 SCHROCK RD
City WORTHINGTON
State OH
ZIP 43085
Accounting period End 12
Primary contact name LOIS NARRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOIS NARRI
PRESIDENT & DIRECTOR
413 SCHROCK RD
WORTHINGTON OH 43085

Officer/Director/Trustee Two

FIFI POMBO
TREASURER
413 SCHROCK RD
WORTHINGTON OH 43085

Officer/Director/Trustee Three

JEAN MANGOUKA
VICE PRESIDENT
413 SCHROCK RD
WORTHINGTON OH 43085

Officer/Director/Trustee Four

SAMUEL DEPPSON
SECRETARY
413 SCHROCK RD
WORTHINGTON OH 43085

Officer/Director/Trustee Five

SAGE DEPPSON
VICE SECRETARY
413 SCHROCK RD
WORTHINGTON OH 43085

Organization’s website
Organization’s email ACTIONCULTURE.AFRICAINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LOIS NARRI
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/15/2021

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