FORM 1023-EZ for LANEY JAYMES FOUNDATION

Field Data
EIN 82-2102429
Case Number EO-2017193-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANEY JAYMES FOUNDATION
Organization’s Mailing Address 2323 CROSSLANES WAY
City ODENTON
State MD
ZIP 21113
Accounting period End 12
Primary contact name BRIAN FITZSIMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN FITZSIMONS
PRESIDENT, DIRECTOR
2323 CROSSLANES WAY
ODENTON MD 21113

Officer/Director/Trustee Two

COREY SCHUSTER
DIRECTOR
2608 N GEORGE MASON DR
ARLINGTON VA 22207

Officer/Director/Trustee Three

BRIAN VANN
DIRECTOR
4803 41ST ST NW
WASHINGTON DC 20016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H48 - Brain Disorders Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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