FORM 1023-EZ for LZ FOUNDATION INC

Field Data
EIN 45-3780300
Case Number EO-2015086-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LZ FOUNDATION INC
Organization’s Mailing Address 397 MAIN STREET
City CROMWELL
State CT
ZIP 06416
Accounting period End 12
Primary contact name ERNEST LACORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERNEST LACORE
CHAIRMAN - CEO
397 MAIN STREET
CROMWELL CT 06416

Officer/Director/Trustee Two

DENNIS CLERMONT
DIRECTOR - CFO
16 WATERBURY ROAD
PROSPECT CT 06712

Officer/Director/Trustee Three

JAMES DUFFY
DIRECTOR - GOVT PUBLIC RELATIONS
48 PARISH HILL ROAD
NO. WINDHAM CT 06256

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2012
Organization Incorporation State CT
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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