FORM 1023-EZ for LLAMA TESSA FOUNDATION INC

Field Data
EIN 84-3416431
Case Number EO-2019310-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LLAMA TESSA FOUNDATION INC
Organization’s Mailing Address 9 PIHLMAN PLACE
City CHATHAM
State NJ
ZIP 7928
Accounting period End 12
Primary contact name GREGORY W HAUSWIRTH ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL HANDERHAN
TRUSTEE
9 PIHLMAN PLACE
CHATHAM NJ 7928

Officer/Director/Trustee Two

NICOLE CYGANOVICH
TRUSTEE
175 HILLSIDE AVE
CHATHAM NJ 7928

Officer/Director/Trustee Three

GREGORY HAUSWIRTH
TRUSTEE
204 MAPLEWOOD ROAD
WEST CHESTER PA 19382

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 GREGORY HAUSWIRTH
Signature Title TRUSTEE
Signature Date 11/4/19

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