FORM 1023-EZ for ALEX ZOE LUPUS FOUNDATION

Field Data
EIN 86-2663990
Case Number EO-2021099-000942
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEX ZOE LUPUS FOUNDATION
Organization’s Mailing Address 45 E CITY AVE BOX 1861
City BALA CYNWYD
State PA
ZIP 19004
Accounting period End 12
Primary contact name SARITA PORTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARITA PORTER
PRESIDENT AND EXECUTIVE DIRECTOR
45 E CITY AVE BOX 1861
BALA CYNWYD PA 19004

Officer/Director/Trustee Two

ALEXIS SIMS
SECRETARY
45 E CITY AVE BOX 1861
BALA CYNWYD PA 19004

Officer/Director/Trustee Three

DONAE WILLIAMS
TREASURER
45 E CITY AVE BOX 1861
BALA CYNWYD PA 19004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARITA PORTER
Signature Title PRESIDENT AND EXECUTIVE DIRECTOR
Signature Date 3/21/2021

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